Scaling a vision correction medical practice from £1 million to £10 million per year requires strategic initiatives and alternative strategies. Expanding to serve multiple patient avatars, diversifying service lines, and exploring new markets can unlock growth potential. By sweating the assets, maximizing appointment capacity, utilizing equipment and staff expertise, and exploring telemedicine options, additional revenue streams can be generated. Expanding marketing channels, optimizing tactics, and building referral networks enable the practice to attract a larger patient base. Finally, installing a professional operating system ensures efficient growth and improved profitability. Implementing these strategies will pave the way for successful scaling and the achievement of revenue goals in the vision correction industry.