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Nextech vs Pabau

Why is Pabau the right Nextech alternative for you?

This page will unpick some of the key differences between Nextech and Pabau so that you can decide which is the best fit for your business. 

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Main differences between Nextech and Pabau

Nextech

Nextech is an established, enterprise-grade specialty EHR and practice-management platform, founded in 1997, for ophthalmology, dermatology, plastic surgery, orthopedics and med spa practices. It offers specialty-specific charting, scheduling, a patient portal, analytics, payments, marketing and lead management, bidirectional e-prescribing, and — through TouchMD — visual consultation and image management for aesthetic practices.

It is a deep, highly configurable system built for larger, multi-provider and multi-location specialty groups, which is also why it can be more involved and more costly to set up and run.

Nextech is built for the US specialty-medicine market. Pabau takes a different approach: a modern all-in-one platform that runs aesthetic, medical and wellness clinics across both the UK and the US, and is quick to get up and running.

Pabau

Pabau offers an all-in-one cloud software solution tailored to seamlessly manage the unique workflows in med spas, healthcare businesses and aesthetic practices of all sizes. It’s intuitive and easy-to-use enough that new businesses can get it up and running in no time, but it’s comprehensive enough to help practices scale and grow.

It supports businesses with everything from online booking, patient management, forms, automated recalls/reminders, pre- and post-care, POS, and marketing.

It’s not just there to simplify running your business, it’s designed to help you drive revenue and grow.

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Pricing

Nextech

Nextech does not publish standard pricing; it is quoted per practice based on the modules and services you need, so you would speak to their team. As an enterprise platform, much of its capability is delivered as separate modules and services.

Pabau charges a flat monthly fee based on the number of users and clients, with the everyday toolkit included, so it is easier to predict what you will pay as you grow.

Pabau

Pabau charges a flat monthly fee based on the number of users and clients. For that, you get an incredibly feature-rich system with online bookings, digital client records, robust client records, inventory, point of sale, marketing builder, and lots more. For more information visit our pricing page. 

Pabau’s core functionality is built-in, and we don’t charge extra for essential features. There are some optional fees and upgrades like credits for SMS, telehealth and Pabau Scribe and Marketing Plus (which are super useful!), but everything you need day-to-day is built in.

Pabau offers 12, 24 and 36-month contracts, but they are optional.

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Feature comparison

Why Choose Pabau Over Nextech
Nextech

Right-sized and quick to run for independent aesthetic and private practice

Nextech is a deep enterprise specialty stack built for larger, multi-provider groups, which can make it more involved and costly to run. Pabau is designed to be quick to set up and easy for staff to learn, so an independent aesthetic or private clinic can get up and running fast without a heavy implementation.

Online booking, marketing and payments included out of the box

With Pabau, online booking, email and SMS marketing, payments, reports and the client portal come in one subscription. Nextech delivers much of this capability through separate modules and add-on services, so the everyday toolkit is assembled and priced piece by piece.

Built for the UK and US, across more than one specialty niche

Nextech is a US platform focused on specialty medicine. Pabau runs aesthetic, medical, wellness, GP and multi-specialty clinics across both the UK and the US, and is HIPAA-ready for US practices — so it fits a broader range of clinics.

Built-in customizable reports and analytics

Both platforms offer reporting and analytics. Pabau ships with more than 40 pre-built reports you can customize, or build your own — covering bookings, revenue, rebooking and marketing — included as standard, with charts and graphs so the numbers are easy to read and act on.

Marketing and patient engagement built in

Nextech offers marketing and lead-management tools, and Pabau includes email and SMS marketing, automated recalls and campaigns, and review requests as part of the platform — so a clinic can run its marketing from the same place it manages clients, without a separate subscription.

Electronic prescribing on both sides

Both platforms let clinicians prescribe electronically. Pabau sends prescriptions electronically to pharmacies in the UK and via fax in the US, included in the platform, and wraps it in the booking, consent, photos, payments and marketing an aesthetic or private clinic runs on day to day.

Efficient no-show management with flexible, automated deposits

Pabau lets you set deposits by service or client and combine them with cancellation and no-show fees to protect revenue, backed by automated reminders and confirmations — deposit and no-show tooling geared to keeping an aesthetic clinic’s calendar full.

Flexible and intuitive calendar

Pabau gives you a flexible calendar you can view by day, week or month and tailor to how your team works, with a clean, intuitive layout that is quick for new staff to pick up.

Having Pabau implemented into the clinic is certainly a relief. It just reduces a whole lot of stress in the clinic.

Amish Patel, Owner / Director / Lead clinician
Intrigue Cosmetic Clinic
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G2 Leader
G2 Likely To Recommend

Top 5 reasons to choose Pabau over Nextech

1. Intuitive, easy-to-use system

Pabau is a modern and intuitive system that is a no-brainer for businesses of all sizes. Its intuitive interface and user-friendly features allow users to find everything they need with just a few clicks.

Many of our clients who are solo practitioners or small businesses have stated that they started using our intuitive and user-friendly system from the get-go.

Nextech is a powerful, feature-deep platform built for larger specialty groups, which can make it more complex to configure and run. Pabau is designed to be simple and quick to learn, so an independent aesthetic or private clinic is productive from day one.

2. Practice management solution for practices of all sizes

Pabau is great for solo practitioners, new businesses, and big businesses alike. It's an affordable option for teams of one, and it's also robust enough to grow with you and handle large clinics.

Nextech is aimed at larger, multi-provider and multi-location specialty practices. Pabau grows with you from a single room to a multi-location group across aesthetic, medical and wellness care in both the UK and US.

3. An all-in-one solution for med spas and aesthetic practices

Pabau is a superb solution for the aesthetic industry. It has everything you need to run your business: a robust client card, detailed face mapping, e-prescriptions (for the UK) and prescriptions via iFax (for the US), automated recalls for easier client/calendar management, and smart allergy tracking with SNOMED. It also comes with a secure payment terminal for easier payments, and it is HIPAA-ready for US clinics.

Nextech serves aesthetic and specialty practices well, especially larger groups. For independent aesthetic and private clinics that want modern all-in-one software with marketing and booking built in, Pabau is a strong fit.

4. Core functionalities built-in

With Pabau, everything you need to run your business is built in, so you won't have to pay extra for things like before-and-after photos, detailed and customizable reports, review management, or the client portal. There are some optional fees and upgrades, but everything you need day-to-day is built in.

With Nextech, much of the platform is delivered as separate modules and add-on services. Pabau keeps the day-to-day toolkit — clinical, front desk and marketing — in one predictable subscription.

5. A richer, more convenient client experience

Pabau's robust client portal keeps your clients engaged, reducing no-shows while improving treatment outcomes. Clients can easily book/cancel/reschedule appointments online, pay invoices, find treatment notes, see progress photos, and view and edit their medical histories with just a click.

Nextech offers a patient portal and engagement tools too; Pabau pairs a full client portal with online booking, automated communications and marketing to keep clients engaged and the calendar full.

Customers That Chose Pabau Over Others

“A clinical CRM that meets all of my needs and makes my life a lot easier! [I love] having my patient’s journey all in one place. Being able to manage marketing and new leads, which previously required juggling various systems.

Pabau has allowed me to streamline my business and gave me more time — which is invaluable.”

Craig H.

Small-business owner

G2 review

“[We love] the ability to free up the clinic of paper once and for all. Having tried a number of different software systems there has always been some paper somewhere. Pabau completely eliminates this. It has every feature you could dream of to reduce the workload.

There’s always someone available if you need help with the system as well.”

Lee H.

Medical practice manager

GetApp review

“Our previous system was OKAY but we needed too many additional “add-ons” to continue to grow our business and service our customers. Pabau is a one-stop shop.”

Carissa P.

Health, wellness, and fitness manager

Capterra review

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Nextech is a trademark of its respective owner. Last updated on 07.23.2026

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