This week on The Scalpel of Truth, Leisa tackles a problem that plagues many medical spas: toxic management. She dissects the various forms toxic management can take, from the egomaniac who rules by fear to the lazy service provider who coasts on seniority. She argues that these individuals, often placed in positions of power without earning their keep, can cripple a med spa's potential, leading to decreased productivity, high turnover, and, ultimately, a decline in patient satisfaction.

The episode isn't all doom and gloom, however. Leisa offers practical solutions for med spa owners, urging them to "inspect what they expect" from their managers, closely monitoring performance metrics, conducting regular performance reviews, and creating a safe space for employees to voice concerns without fear of retribution. She stresses the importance of data-driven decision-making, encouraging owners to address issues head-on and make tough choices when necessary, even if it means letting go of long-time employees.