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Practice Opening & Expansion Guide | Part 4: Adding Hormone Replacement Therapy to Your Practice, What Providers Ask First

August 04, 2026 3 min read

Practice Opening & Expansion Guide | Part 4:

Adding Hormone Replacement Therapy to Your Practice: What Providers Ask First

Expert insights from Kevin Wyler, President & Co-Founder of Medical Spa Supply

Hormone replacement therapy (HRT) has become one of the fastest-growing services offered by medical wellness practices. Whether expanding an existing Med Spa, launching a dedicated HRT practice, or adding wellness services to an established practice, providers often ask the same question before they begin:

What equipment do I actually need?

According to Kevin Wyler, President & Co-Founder of Medical Spa Supply, the answer isn't about buying every piece of equipment at once.

"Providers usually come to us at one of two stages. They're either opening an HRT practice from the ground up, or they already have an established wellness business and they're looking to add HRT to their services."

Rather than focusing on a long equipment list, Kevin recommends making two foundational decisions first. Getting these right creates a smoother workflow, improves the patient experience, and makes future growth much easier.

1. Choose a Treatment Chair That Supports Both Patients and Providers

"The chair you're using matters more than people realize," Kevin explains.

For many HRT practices, the treatment chair becomes one of the most frequently used pieces of equipment in the practice. It needs to support providers during procedures while creating a comfortable experience for patients.

Kevin recommends looking for a chair that offers:

  • Excellent stability during procedures
  • Comfortable positioning for longer appointments
  • Easy height adjustment for providers
  • Surfaces that withstand medical-grade disinfectants
  • A modern appearance that complements a premium wellness practice

"It needs to be stable and safe for procedures, comfortable for patients, durable enough to handle medical-grade disinfectants—and it should still look like it belongs in a luxury wellness practice, not a traditional clinic."

Patients paying for private-pay wellness services often expect an environment that feels both clinical and welcoming. Investing in quality treatment furniture helps reinforce professionalism from the moment they enter the room.

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2. Plan Your Sterilization Workflow Before Opening

Another decision that affects daily operations is whether the practice will use reusable or disposable trocars.

"If you're using reusable trocars, an autoclave isn't optional," Kevin says.

Practices choosing reusable instruments should think beyond simply purchasing an autoclave. A well-designed sterilization process helps improve efficiency, supports regulatory documentation, and makes it easier for staff to maintain consistent infection control procedures.

Many providers also benefit from autoclaves that automatically record sterilization cycles, making documentation significantly easier.

Thinking through these processes early can prevent costly workflow changes later as the practice grows.

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Think About the Entire Patient Journey

Equipment decisions shouldn't be made in isolation.

Every choice, from treatment chairs to sterilization equipment, affects how efficiently providers work and how patients experience the practice.

Every HRT practice is different, but Kevin's advice is consistent:

"Think through the workflow first. Once you understand how you'll care for patients every day, choosing the right equipment becomes much easier."

By planning around patient care instead of individual products, practices can make smarter investments that continue to support growth for years to come.


Medical Spa Supply Helps Providers Build HRT Practices

Whether opening a new hormone replacement therapy practice or expanding an existing medical wellness business, having the right equipment partner can simplify the process.

Medical Spa Supply works with providers across the country to help them select treatment chairs, sterilization equipment, medical supplies, and other essentials needed to build efficient, patient-focused practices.

Need help planning an HRT practice? The Medical Spa Supply team is available to help identify the right equipment for your workflow, budget, and long-term goals.

Visit https://medicalspasupply.com or call (800) 880-8260 to speak with the Medical Spa Supply team.


Watch Kevin Wyler Share His Approach to Opening a Hormone Replacement Practice




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