Most major platforms will let you advertise a health or wellness service, subject to conditions. None of them will let you list one for sale. Meta's Commerce Policies state that commerce content may not promote the buying, selling or trading of medical and healthcare products and services, including medical devices or ingestible supplements, and separately that it may not promote downloadable digital content, digital subscriptions or digital accounts, which catches both a clinic appointment and a twelve week coaching programme. TikTok Shop's US prohibited categories include Services and Virtual Products, alongside Body and Mental Wellness Products and Medicines, Medical Devices and Medicinal Supplements. Pinterest's Merchant Guidelines bar healthcare products and services from organic product Pins. LinkedIn has no commerce format at all. There is no checkout button in this category. Every sale is a lead, a booking or an off platform payment, and the only job the social surface has is qualification.
The second thing to understand is that this category's favourite content format is the one regulators look at hardest. The FTC's Health Products Compliance Guidance states that anecdotal evidence about the individual experiences of consumers, including surveys of consumer experiences, are never sufficient to substantiate claims about the effects of a health product, and that testimonials that report results more dramatic than users can generally expect are likely to be deceptive. It adds that attempts to disclaim dramatic results with statements like 'results not typical' do not cure the deception, and that such testimonials should carry a clear and conspicuous disclosure of the results a typical consumer can actually expect. Meta draws its line in a different place but in the same spirit: ads may not claim to cure, heal or eliminate a named list of conditions, while content about managing symptoms is permitted. Cure versus manage is the distinction that decides whether most wellness copy runs at all.
Third, the decision here is slow, private and socially ratified. Nobody books a physiotherapist because one Reel was good. They book because they read you quietly for weeks, sent one of your posts to a partner or a group chat, and then something happened on a Tuesday that made it urgent. Build for the lurker and the forward, not the impression.
Who is buying, and how they decide
There are two buyers in this category and they behave nothing alike. The symptomatic buyer has a problem: back pain that will not settle, sleep that has collapsed, perimenopause, a bad blood panel, post surgical rehab, anxiety that has started affecting work. They are not browsing. They have already decided to spend and they are running a search and verify loop to choose between providers, using symptom words rather than service words. The identity buyer has nothing wrong and wants to become a different kind of person: stronger, calmer, leaner, longer lived. They are influenceable, they are slow, and they convert on a trigger date rather than on an offer. Both treat the purchase as risky rather than expensive. Price is rarely the first objection. The real objections are whether this will work for their specific thing, whether they will be judged in the room, whether the practitioner is genuinely qualified, how much time it will eat, and whether they can stop. Trust transfers from a named human face rather than from a clinic logo, which is why the founder or lead practitioner ends up carrying the account whether they want to or not. And the decision is almost never made alone: it gets ratified by a partner, a friend, a forum thread, a review page or a GP, so content that cannot survive being screenshotted and forwarded to a sceptical third party is not doing sales work. One thing worth planning for deliberately. Buyers in this category have been exposed to a great deal of protocol selling, and many of them now read overclaiming as a warning signal. Hedged, specific, disqualifying language loses you the buyer who was never going to stay, and it is the only register that survives forwarding to someone whose job is to talk them out of it. Treat that as a positioning decision rather than a measured conversion lift, because nobody publishes reliable numbers on it and you should distrust anyone who claims to.
Where this actually sells
Not every platform is worth your time in this category. These are the ones that are, and why.
The content that works
The path from scroll to sale
- A symptom language video reaches someone who has been quietly searching that phrase. Make no offer. The only ask is a save or a follow. A hard call to action at this stage teaches the platform to find you people who are not ready to buy.
- They lurk, for weeks. Treat the profile, the pinned posts and the first screen of the grid as the real landing page: name, credentials, scope of practice, location, and who you do not treat. Most of the selling in this category happens here, with nobody watching and nothing to measure.
- A low risk first ask that is not medical: a DM keyword, a fit check call, a free class, a short form about goals, availability and location. Be deliberate about the fields. Symptom and diagnosis questions convert a marketing list into health data, and that decision constrains what you are permitted to do with the audience afterwards.
- A human conversation in the DM or on the phone, inside the 24 hour window Meta's messaging policy allows for responding to a user. Qualify out loud, disqualify honestly, and hand over the booking link only after that. This is where the sale is made, not in the creative.
- Checkout happens off platform, in a booking system, practice management tool or clinic record system, because no platform will let you list the service itself. Take a deposit or a card on file at this step. A funnel optimised to booking volume with nothing at stake manufactures no shows.
- Rebook in the room, at the end of the first appointment, before they leave. The revenue in a service business sits in the repeat visits rather than the first one, and an emailed follow up a week later has to restart the decision from cold, which a face to face ask does not.
Rules that constrain this category
Policies and regulations change. Treat this as the starting point for your own check, not as legal advice.
- THE SERVICE CANNOT BE LISTED ON ANY NATIVE COMMERCE SURFACE. This is the organic side of the rulebook and it is close to absolute. Meta's Commerce Policies state that commerce content may not promote the buying, selling or trading of medical and healthcare products and services, including medical devices or ingestible supplements, and separately that it may not promote downloadable digital content, digital subscriptions or digital accounts, which catches coaching programmes and memberships. TikTok Shop's US prohibited categories include Services and Virtual Products, Body and Mental Wellness Products, and Medicines, Medical Devices and Medicinal Supplements. Pinterest's Merchant Guidelines bar healthcare products and services, including any unsafe healthcare products that make unrealistic promises such as weight loss pills, from organic product Pins. Snap's Merchant Policies prohibit weight loss supplements outright and prohibit products that require age gating, which makes Snap's merchant surface structurally narrower than its ads surface, where several categories are permitted precisely by age gating. Plan for lead capture and off platform booking from day one.
- META PAID IS WIDER THAN META COMMERCE, WITH CONDITIONS. Dietary, health, weight loss and weight gain products and services, and cosmetic procedures, must target 18 and over. Prohibited creative includes statements of inferiority about physical appearance, close up on a specific body area by pinching fat, claims that results can be achieved solely by using wearable products, and exaggerated or extreme claims or promises of specific outcomes within a set time frame. Ads may not claim to cure, heal or eliminate diabetes, herpes, thyroid conditions, psoriasis, Ebola, cancer, autism, Alzheimer's, Parkinson's, motor neurone disease or HIV, while managing symptoms is permitted. One carve out worth knowing if you work in sexual or reproductive health: sex toys and erotic products are prohibited, but contraceptives including condoms, fertility services, and treatment for erectile dysfunction and premature ejaculation are allowed to people over 18 where the creative focuses on medical efficacy rather than pleasure. If you operate as an online pharmacy or telehealth provider, Meta requires active LegitScript certification plus Meta authorisation, and prescription drug ads may only target people in the United States, Canada or New Zealand, and only people over 18. Meta's country lists and certification requirements move, so read the live policy before you commit to a market.
- PINTEREST IS THE STRICTEST PLATFORM ON WEIGHT, WHICH IS COUNTERINTUITIVE GIVEN THE INTENT THERE. Pinterest's position is that it does not allow any weight loss language or imagery, with a single carve out for approved healthcare advertisers in the United States and Canada promoting prescription GLP-1 medication. Healthcare and prescription drug ads are permitted in the United States and Canada with restrictions, must target Pinners 18 or older, and require prior Pinterest approval. Healthcare products and services are also barred from organic product Pins. These positions were read on Pinterest's own pages on 28 September 2026. Country lists and approval pathways on those pages change without notice, so check the live guidelines before committing budget rather than trusting any reproduction of them, including this one.
- TIKTOK CLOSES THE CREATOR ROUTE AND GATES THE ADS ROUTE BY MARKET. TikTok's Branded Content Policy bars branded content promoting weight loss products and services, and pharmaceuticals and healthcare products, and states that the creator is responsible for ensuring branded content complies with applicable law, so a paid partnership layer in this category is not available to you regardless of spend. On the ads side, prescription drugs are not allowed across nearly all markets, with Canada and New Zealand permitting them subject to regulatory approval and age gates of 18 and over, and 25 and over for New Zealand. Over the counter medicines and medical devices may be allowed with local regulatory proof and 18 plus targeting. Botox, breast augmentation and genital aesthetic surgery are prohibited across most regions. Clinical trial recruitment is not allowed in Australia and New Zealand. TikTok's rules are market specific and carry per market tables, so read the live table for every country you intend to target rather than assuming a regional rule holds.
- LINKEDIN, GOOGLE AND SNAP EACH HAVE ONE RULE THAT BREAKS A STANDARD PLAN. LinkedIn prohibits ads promoting unrealistic or misleading claims about health improvements, including those related to diet and weight loss; restricts medical devices and treatments; requires prior authorisation for prescription drugs and permits them only in the United States or Canada; requires prior authorisation for pharmacy and telehealth services and permits those only in the United States; and bans affiliate advertising outright. On Google, healthcare certification is country specific rather than generic: LegitScript certification for online pharmacies and telemedicine is named for a defined list including Canada, the United Kingdom and the United States among others, addiction treatment certification is available in Canada and the United States, and NABP digital pharmacy accreditation in Canada and the United States. Google prohibits unapproved pharmaceuticals and supplements, products containing ephedra, products containing human chorionic gonadotropin in relation to weight loss, speculative or experimental medical treatments, and cell or gene therapies other than FDA approved ones in the United States. Then the rule that catches almost everyone: Google's Personalized advertising policy lists Health as a sensitive interest category, and advertisers promoting products or services in a sensitive interest category cannot use advertiser curated audiences, on the stated reasoning that those may inadvertently contain sensitive user signals. In practice that removes Customer Match, your own data segments, audience expansion and lookalike segments. Predefined Google audiences remain available, including in market segments, affinity, life events and custom segments, because Google excludes the sensitive signals from them. Your customer list and your lookalike plan do not exist on Google in this category, regardless of consent. Snap adds a third. Snap does not permit weight loss supplements at all, health and wellness supplements require pre-approval through Snap's Health Related Products and Services Advertiser Form, and weight loss injectables are treated as prescription medication, which means they inherit Snap's prescription medicine country list and, in the United States, cannot target Washington State. If you are anywhere near the GLP-1 conversation, check that state exclusion before you build the targeting.
- CLAIMS LAW BINDS YOU HARDER THAN PLATFORM POLICY, AND IT DIFFERS BY COUNTRY. The FTC's Health Products Compliance Guidance requires competent and reliable scientific evidence for health benefit claims, defined as tests, analyses, research or studies that have been conducted and evaluated in an objective manner by experts in the relevant disease, condition or function, and that are generally accepted in the profession to yield accurate and reliable results. It states that randomised, controlled human clinical trials are the most reliable form of evidence and are generally the type of substantiation experts would require for health benefit claims. Anecdotal evidence about the individual experiences of consumers, including surveys of consumer experiences, are never sufficient. Testimonials that report results more dramatic than users can generally expect are likely to be deceptive, and a 'results not typical' statement does not cure the deception; such testimonials should carry a clear and conspicuous disclosure of the results a typical consumer can actually expect. The FTC's Rule on the Use of Consumer Reviews and Testimonials, 16 CFR Part 465, has been in force since 21 October 2024 and, unlike the Endorsement Guides, is a trade regulation rule under which the FTC can seek civil penalties against knowing violators; it reaches fake reviews, incentivised reviews, reviews by insiders without disclosure, and conditioning compensation on a review expressing a particular sentiment, which is exactly what a 'leave us a five star review and get a free session' offer is. The FTC announced warning letters to ten companies on 22 December 2025 leaning on that provision. In the United Kingdom, CAP rule 12.1 requires objective claims to be backed by evidence, and where relevant that evidence consists of trials conducted on people. CAP rule 12.2 requires that marketers must not discourage essential treatment for conditions for which medical supervision should be sought, and that advice or treatment for such conditions be conducted under the supervision of a suitably qualified health professional; general information may still be provided. Note the shape of that rule. It is not a bar on discussing a condition, it is a bar on offering advice or treatment for one outside qualified supervision, and that is the line an unregulated coach's copy usually crosses without noticing. Disclosure labels also diverge: the FTC accepts 'sponsored', while UK guidance from the CMA lists '#spon' and '#sponsored' among terms to avoid, and Canada's Ad Standards influencer guidelines, updated October 2025, name '#Ad' used on its own as the gold standard and now address affiliate marketing and disclosure of AI generated content.
- HEALTH DATA AND PROFESSIONAL REGULATION ARE THE TWO EXPOSURES NOBODY BUDGETS FOR. On data: the FTC's action against BetterHelp turned on the company sharing consumers' email addresses, IP addresses and health questionnaire information with Facebook, Snapchat, Criteo and Pinterest for advertising purposes, and on using consumers' email addresses and the fact that they had previously been in therapy to instruct Facebook to identify similar consumers and target them. The order prohibits sharing health information for advertising, requires affirmative express consent before disclosing personal information to certain third parties for any purpose, requires the company to direct third parties to delete the data, and sets retention limits. That is the standard wellness funnel described back to you as an enforcement action. If you are a HIPAA covered entity or business associate in the United States, tracking pixel obligations are a separate legal question from platform policy, the federal guidance on online tracking technologies has been litigated, and it is a question for counsel rather than for a marketing plan. On professional regulation: rules are set by profession, college and province or state, not by the platform. Ontario's College of Physiotherapists Advertising and Marketing Standard, effective 1 May 2025, prohibits claims of superiority about any aspect of care including care providers, giving 'number one' and 'best care available' as examples, prohibits comparative statements about care providers, applies expressly to activity conducted through social media, requires content to be truthful, accurate and verifiable, addresses product endorsement by requiring credible evidence and full transparency about any financial relationship, and requires the registrant to review all advertising and promotional activity placed by themselves or by others on their behalf. That last clause means an agency's post is the clinician's regulatory problem. Testimonial and endorsement rules vary between colleges and jurisdictions, so verify with the specific regulator rather than assuming a common standard. Finally, every allowance described above is written policy. Automated enforcement is frequently stricter than the text, particularly for supplements and weight loss, and rejection is common even where a pathway exists on paper.
Selling this without owning it
If you want to sell in this category without making the product, these are the routes that exist. The sourcing directory covers each in more detail.
What to measure
- Saves and sends per post, tracked in place of likes. This is the leading indicator in a category where the decision lags the impression by weeks and gets ratified by a third party. A rising send rate predicts DM volume before the DMs arrive; a rising like rate tells you almost nothing about intent.
- Profile visit to DM rate and DM to booked rate, measured separately. Collapsing them into one conversion number is why most practitioners cannot tell whether the content is attracting the wrong people or the conversation is losing the right ones.
- Median first reply time in minutes, and the share of conversations answered inside Meta's 24 hour response window. Past that window, promotional content requires an approved message tag or a sponsored message, so a slow reply costs you the sale and narrows what you are allowed to send next.
- Show rate, meaning booked appointments minus no shows, reported next to cost per booking rather than instead of it. A funnel optimised to cheap bookings with nothing at stake produces a calendar that looks full and a week that is not.
- Second booking rate within a defined window after the first session. This is the real revenue metric for a service business and it is almost never on the marketing dashboard, which is why acquisition keeps getting funded and retention does not.
- Ad and organic post rejection rate broken down by policy reason, reviewed as a creative signal rather than an admin task. Written policy and automated enforcement are not the same thing in this category, and a drift in rejection reasons is the earliest warning that your claim language has crept from managing symptoms toward curing them.
The mistakes that cost the most
- Building the entire content engine on before and after imagery and client testimonials. The FTC's Health Products Compliance Guidance treats anecdotal consumer experience, including surveys of it, as never sufficient to substantiate a health claim, and treats testimonials reporting results more dramatic than users can generally expect as likely to be deceptive. Meta separately bans statements of inferiority about physical appearance and close ups pinching fat. And some professional colleges restrict superiority and comparative claims, with Ontario's physiotherapy standard naming 'number one' and 'best care available' as examples. One format, three separate exposures, and it is the first thing most practitioners film.
- Running a symptom quiz into a pixel and then building a lookalike audience from it. That is the fact pattern in the FTC's BetterHelp action, where health questionnaire information reached Facebook, Snapchat, Criteo and Pinterest and Facebook was instructed to find similar consumers. It is also unavailable on Google regardless of consent, because Health is a sensitive interest category under Google's Personalized advertising policy and advertisers in a sensitive interest category cannot use advertiser curated audiences, which removes Customer Match, your own data segments, audience expansion and lookalike segments. Decide what you collect on the form before you design the campaign, not after.
- Budgeting for a TikTok creator or affiliate layer. TikTok's Branded Content Policy bars branded content promoting weight loss products and services, and pharmaceuticals and healthcare products, and puts compliance on the creator. The route is closed by policy. Money set aside for creator partnerships here is better spent on volume and iteration from the business account, where you control the claim language anyway.
- Treating Pinterest as the gentle, high intent home for wellness content. Pinterest does not allow any weight loss language or imagery, with a narrow carve out for approved healthcare advertisers in the United States and Canada promoting prescription GLP-1 medication, and healthcare ads there are limited to the United States and Canada with prior approval and 18 plus targeting. The platform where the intent lives has the tightest rules on the thing that intent is usually about.
- Spending weeks trying to stand up a shop. Meta Commerce bars medical and healthcare products and services and digital subscriptions; TikTok Shop US prohibits Services and Virtual Products; Pinterest bars healthcare from organic product Pins; LinkedIn has no commerce format at all. There is no configuration, verification or appeal that makes a coaching programme or a clinic appointment listable. That effort belongs in the booking flow and the deposit step instead.
- Writing one caption for the United States, the United Kingdom and Canada. 'Sponsored' is accepted by the FTC and is on the CMA's list of labels to avoid; Canada's Ad Standards guidelines, updated October 2025, name '#Ad' on its own as the gold standard and now cover affiliate marketing and AI generated content disclosure; UK CAP rule 12.2 requires that advice or treatment for conditions where medical supervision should be sought be conducted under the supervision of a suitably qualified health professional, which changes what an unregulated coach may say at all. Localise the claim and the label together, not just the currency.
No platform will let you sell a health service, only let someone decide on one, so the content that wins sells your judgement and never your outcomes.