New U Women’s Clinic & Aesthetics is redefining what a women’s health and wellness franchise can be. In the $21 billion med spa landscape crowded with injectable-focused concepts and transactional experiences, New U offers something far more complete: a holistic “inside-out” model that blends medical weight loss, hormone therapy, aesthetics, IV wellness and comprehensive women’s health services under one roof. For franchisees, that same model delivers a rare combination of purpose and profitability, backed by a founder whose personal story, clinical expertise and uncompromising values shape every element of the brand.

From day one, Founder and CEO Dr. Rachel Fidino approached the business differently. While many med spas focus on what she calls an “outside-in” model, New U was built around the belief that when you treat a woman’s health first, her aesthetic results follow. 

“If you treat her on the women’s health side — you treat her hormones, you focus on her weight, you focus on her inner beauty — her outer beauty is going to follow second,” Fidino said. That philosophy is captured in New U’s promise: “Where wellness meets beauty.”

Rather than chasing one-off transactions, New U prioritizes relationships. 

“People are focused on the transaction. I’m focused on relationships, and that’s what this business is built on,” Fidino said. “I’m not out there to get the sale for just today. I’m looking for a lifetime patient. I’m looking for somebody where I want to treat the sister, the mom, the entire family.” 

At the consumer level, that commitment shows up in both outcomes and experience. Patients receive personalized care plans rooted in evidence-based medicine and luxury hospitality. Appointments are not rushed; clients are treated with dignity, respect and elegance, in an environment that feels more like a boutique hotel than a clinic. A comfort menu, spa water, curated music and small, thoughtful touches turn even a GYN appointment into a moment of care and restoration. 

“Patients know that in the details, they’re choosing to spend money to come and see us because they’re getting all of these other services that we’re really not charging for,” Fidino said.

A Founder Who Built the Clinic She Needed

New U’s model is inseparable from Fidino’s own story. A two-time cancer survivor, she went through menopause at 32, gained significant weight and struggled to find clinicians who would even discuss hormones. 

“For me, it was finding this void in health care where hormones were not discussed,” she said. “I gained 40 pounds, and I was like, ‘My hormones aren’t being addressed. I feel horrible.’ I was aging at a very fast pace.”

Her experience with what she calls the “cattle approach” to women’s health care — rushing patients through, focusing on diagnoses rather than whole-person wellness — convinced her that something better was possible. 

“I really had to find and craft this model that could take care of the whole patient, because this didn’t exist when I started New U,” she said. Even securing financing was an uphill battle. “Going to a bank and asking for a loan for something that hadn’t been designed before was very, very hard. I got a lot of ‘nos.’ I don’t care if somebody gives me a no. Somebody’s going to give me a yes, because I’m not going to give up until I get my yes.”

That same determination has guided her beyond the four walls of the clinic. Fidino helped pass state legislation expanding access to breast MRI screening and launched initiatives like The Healing Hands Project and a natural skin care line. She frames it all as part of a larger mission and legacy. 

“I know my time on this earth is limited. I have work to do. I have a legacy to build and a legacy to leave behind when my time is up,” she said. “I’m not going to stop until I finally feel that my work on this earth is done.”

From Tri-Cities Original to First-of-Its-Kind Franchise

New U Women’s Clinic & Aesthetics opened in February 2020 in Washington’s Tri-Cities region with a clear mission: to be the premier women’s clinic and med spa by treating the whole patient, not just her diagnosis, and to ground every decision in education and evidence-based medicine. The response was immediate. The clinic has been repeatedly recognized as Best Women’s Clinic, Best Med Spa and Best Weight Loss Center in the Tri-Cities, and its return rates and patient satisfaction consistently exceed industry norms.

But franchising was not part of Fidino’s original plan. “I came into a position where I had something not planned for happen to me — my business documents were taken and a competitor started right down the road,” she said. Initially, her instinct was to protect the intellectual property she had built. Then the situation sparked a bigger question: What if sharing that playbook through franchising could expand access to New U’s model instead of threatening it?

“For me, it kind of turned on a light in my head of, ‘Why not allow other people to have a franchise, to be a franchisee and have that opportunity to open up their own New U location?’” she said. “There’s only one of me. If I could clone myself at 300 locations, I would, but that’s just impossible. I can touch more people and have more impact if I can just get the right owners in here to be able to have a New U location so we can touch more lives and help more people on their journey.”

Today, New U is emerging as one of the first women’s health practices to franchise, setting it apart from typical med spa concepts. That first-to-market positioning in the women’s health and wellness franchise category creates a powerful opportunity for early adopters.

What Makes New U Unique in a Crowded Med Spa Market

Most med spa franchises are built around injectables and aesthetics, with clinical care and wellness treated as separate, sometimes secondary, offerings. New U was designed from the ground up to integrate the full spectrum of women’s wellness — medical weight loss, hormone therapy, aesthetics, IV wellness and more — into one cohesive ecosystem. A woman may come in for a specific service and leave with a plan that addresses her entire wellbeing, from hormones and metabolic health to confidence and emotional resilience.

This inside-out model is supported by values that are more often associated with boutique hospitality brands than clinics. Ethics and integrity, innovation, collaboration, transparency, adaptability, goal-setting, ambition and exceptional customer service are not just words on a wall; they are active filters for hiring, training and decision-making. 

“I pay attention to the details. The money is in the details in a lot of regards,” Fidino said. “There is really not a lot of great customer service out there. So when you come in and you get pampered — even for a GYN appointment — that’s the unique experience.”

Operationalized for Franchisees: Systems, SOPs and Support

While the New U story is deeply emotional, the business is anything but improvised. 

“That is why we systematized this business from the time we opened,” Fidino said. “If people have the playbook, if people know what they’re doing, if we have an incredible manual that can guide them beautifully, then they’re going to be able to execute very nicely.”

In an industry where many operators rely on manufacturer-provided protocols and chase the latest trend on social media, New U has built its own comprehensive standard operating procedures. Fidino describes it as a “Swiss cheese” model in which multiple layers of systems, policies and procedures catch issues before they ever reach her desk. 

“If it gets to me, the buck stops with me,” Fidino said. “But there should be so many systems in place that I’m the final solution.”

For franchisees, that translates into a fully developed, operationally sound platform rather than a concept still figuring things out. Owners gain access to proprietary clinical protocols, detailed playbooks, staff training systems and brand assets, as well as support in marketing, HR and day-to-day operations. 

“My long-term approach is to be focused on these franchises and building this out, and focusing more on being the owner, less the operator,” Fidino said.

Why Now: A High-Demand, First-Mover Opportunity

Consumer demand for boutique, medically credible wellness experiences has never been higher. New U sits at the intersection of these trends. It offers the credibility of a women’s health clinic, the aspirational experience of a luxury spa and the recurring revenue potential of a wellness membership model. As one of the first women’s health practices to franchise, it gives early adopters access to protected territories in high-demand markets, with systems and brand positioning already proven at the flagship location.

Fidino’s five-year vision is bold — she has literally dreamed of 300 locations — but she measures success by people, not units. “Some people might say, ‘You’re effing crazy, there’s no way.’ I’m fine with that,” she said. “I’m not going to just chase a number. I’m chasing a person. Wherever we are in five years, I’ll know I’ve done it the right way. As long as I can go to sleep at night, have my integrity and know I’ve run this business ethically and morally sound, we’re going to get the right people.”

The brand is eyeing expansion near its headquarters in the Northwest, in addition to Dallas-Fort Worth, Houston, Austin, Phoenix, Scottsdale, Miami, Tampa, Denver, Nashville, Charlotte, Salt Lake City, and Las Vegas.

Who’s the Right Fit for New U?

The ideal New U franchisee is drawn to both sides of the opportunity: the chance to build a profitable, scalable business and the chance to transform women’s lives in their community. Candidates may come from health care, business or entrepreneurial backgrounds, but they share a high level of emotional intelligence, a strong moral compass and a desire to lead with relationships rather than transactions.

“It’s definitely about finding the right owners. We’re looking for quality over quantity,” she said. “I’ll be slow at bringing in these franchisees because I’m really looking for the person. We can teach everything else, but you can’t teach how somebody is going to follow the direction of the ship.”

Early franchise interest has already confirmed that pull. “We have two potential franchisees who just know who I am,” Fidino said. “One has made it very clear: ‘I just want to be part of this brand. This brand is so incredible. I don’t want my own ship. I want to follow and just keep recreating this.’” 

For those who feel the same way — who want to be part of a values-driven community, follow a proven playbook and bring a truly unique women’s health and wellness franchise to their market — New U offers a compelling path forward.

For more information, visit: https://www.newuwomensclinic.com/franchise-locations/.

New U Women’s Clinic & Aesthetics is redefining what a women’s health and wellness franchise can be. In the $21 billion med spa landscape crowded with injectable-focused concepts and transactional experiences, New U offers something far more complete: a holistic “inside-out” model that blends medical weight loss, hormone therapy, aesthetics, IV wellness and comprehensive women’s health services under one roof. For franchisees, that same model delivers a rare combination of purpose and profitability, backed by a founder whose personal story, clinical expertise and uncompromising values shape every element of the brand.

From day one, Founder and CEO Dr. Rachel Fidino approached the business differently. While many med spas focus on what she calls an “outside-in” model, New U was built around the belief that when you treat a woman’s health first, her aesthetic results follow. 

“If you treat her on the women’s health side — you treat her hormones, you focus on her weight, you focus on her inner beauty — her outer beauty is going to follow second,” Fidino said. That philosophy is captured in New U’s promise: “Where wellness meets beauty.”

Rather than chasing one-off transactions, New U prioritizes relationships. 

“People are focused on the transaction. I’m focused on relationships, and that’s what this business is built on,” Fidino said. “I’m not out there to get the sale for just today. I’m looking for a lifetime patient. I’m looking for somebody where I want to treat the sister, the mom, the entire family.” 

At the consumer level, that commitment shows up in both outcomes and experience. Patients receive personalized care plans rooted in evidence-based medicine and luxury hospitality. Appointments are not rushed; clients are treated with dignity, respect and elegance, in an environment that feels more like a boutique hotel than a clinic. A comfort menu, spa water, curated music and small, thoughtful touches turn even a GYN appointment into a moment of care and restoration. 

“Patients know that in the details, they’re choosing to spend money to come and see us because they’re getting all of these other services that we’re really not charging for,” Fidino said.

A Founder Who Built the Clinic She Needed

New U’s model is inseparable from Fidino’s own story. A two-time cancer survivor, she went through menopause at 32, gained significant weight and struggled to find clinicians who would even discuss hormones. 

“For me, it was finding this void in health care where hormones were not discussed,” she said. “I gained 40 pounds, and I was like, ‘My hormones aren’t being addressed. I feel horrible.’ I was aging at a very fast pace.”

Her experience with what she calls the “cattle approach” to women’s health care — rushing patients through, focusing on diagnoses rather than whole-person wellness — convinced her that something better was possible. 

“I really had to find and craft this model that could take care of the whole patient, because this didn’t exist when I started New U,” she said. Even securing financing was an uphill battle. “Going to a bank and asking for a loan for something that hadn’t been designed before was very, very hard. I got a lot of ‘nos.’ I don’t care if somebody gives me a no. Somebody’s going to give me a yes, because I’m not going to give up until I get my yes.”

That same determination has guided her beyond the four walls of the clinic. Fidino helped pass state legislation expanding access to breast MRI screening and launched initiatives like The Healing Hands Project and a natural skin care line. She frames it all as part of a larger mission and legacy. 

“I know my time on this earth is limited. I have work to do. I have a legacy to build and a legacy to leave behind when my time is up,” she said. “I’m not going to stop until I finally feel that my work on this earth is done.”

From Tri-Cities Original to First-of-Its-Kind Franchise

New U Women’s Clinic & Aesthetics opened in February 2020 in Washington’s Tri-Cities region with a clear mission: to be the premier women’s clinic and med spa by treating the whole patient, not just her diagnosis, and to ground every decision in education and evidence-based medicine. The response was immediate. The clinic has been repeatedly recognized as Best Women’s Clinic, Best Med Spa and Best Weight Loss Center in the Tri-Cities, and its return rates and patient satisfaction consistently exceed industry norms.

But franchising was not part of Fidino’s original plan. “I came into a position where I had something not planned for happen to me — my business documents were taken and a competitor started right down the road,” she said. Initially, her instinct was to protect the intellectual property she had built. Then the situation sparked a bigger question: What if sharing that playbook through franchising could expand access to New U’s model instead of threatening it?

“For me, it kind of turned on a light in my head of, ‘Why not allow other people to have a franchise, to be a franchisee and have that opportunity to open up their own New U location?’” she said. “There’s only one of me. If I could clone myself at 300 locations, I would, but that’s just impossible. I can touch more people and have more impact if I can just get the right owners in here to be able to have a New U location so we can touch more lives and help more people on their journey.”

Today, New U is emerging as one of the first women’s health practices to franchise, setting it apart from typical med spa concepts. That first-to-market positioning in the women’s health and wellness franchise category creates a powerful opportunity for early adopters.

What Makes New U Unique in a Crowded Med Spa Market

Most med spa franchises are built around injectables and aesthetics, with clinical care and wellness treated as separate, sometimes secondary, offerings. New U was designed from the ground up to integrate the full spectrum of women’s wellness — medical weight loss, hormone therapy, aesthetics, IV wellness and more — into one cohesive ecosystem. A woman may come in for a specific service and leave with a plan that addresses her entire wellbeing, from hormones and metabolic health to confidence and emotional resilience.

This inside-out model is supported by values that are more often associated with boutique hospitality brands than clinics. Ethics and integrity, innovation, collaboration, transparency, adaptability, goal-setting, ambition and exceptional customer service are not just words on a wall; they are active filters for hiring, training and decision-making. 

“I pay attention to the details. The money is in the details in a lot of regards,” Fidino said. “There is really not a lot of great customer service out there. So when you come in and you get pampered — even for a GYN appointment — that’s the unique experience.”

Operationalized for Franchisees: Systems, SOPs and Support

While the New U story is deeply emotional, the business is anything but improvised. 

“That is why we systematized this business from the time we opened,” Fidino said. “If people have the playbook, if people know what they’re doing, if we have an incredible manual that can guide them beautifully, then they’re going to be able to execute very nicely.”

In an industry where many operators rely on manufacturer-provided protocols and chase the latest trend on social media, New U has built its own comprehensive standard operating procedures. Fidino describes it as a “Swiss cheese” model in which multiple layers of systems, policies and procedures catch issues before they ever reach her desk. 

“If it gets to me, the buck stops with me,” Fidino said. “But there should be so many systems in place that I’m the final solution.”

For franchisees, that translates into a fully developed, operationally sound platform rather than a concept still figuring things out. Owners gain access to proprietary clinical protocols, detailed playbooks, staff training systems and brand assets, as well as support in marketing, HR and day-to-day operations. 

“My long-term approach is to be focused on these franchises and building this out, and focusing more on being the owner, less the operator,” Fidino said.

Why Now: A High-Demand, First-Mover Opportunity

Consumer demand for boutique, medically credible wellness experiences has never been higher. New U sits at the intersection of these trends. It offers the credibility of a women’s health clinic, the aspirational experience of a luxury spa and the recurring revenue potential of a wellness membership model. As one of the first women’s health practices to franchise, it gives early adopters access to protected territories in high-demand markets, with systems and brand positioning already proven at the flagship location.

Fidino’s five-year vision is bold — she has literally dreamed of 300 locations — but she measures success by people, not units. “Some people might say, ‘You’re effing crazy, there’s no way.’ I’m fine with that,” she said. “I’m not going to just chase a number. I’m chasing a person. Wherever we are in five years, I’ll know I’ve done it the right way. As long as I can go to sleep at night, have my integrity and know I’ve run this business ethically and morally sound, we’re going to get the right people.”

The brand is eyeing expansion near its headquarters in the Northwest, in addition to Dallas-Fort Worth, Houston, Austin, Phoenix, Scottsdale, Miami, Tampa, Denver, Nashville, Charlotte, Salt Lake City, and Las Vegas.

Who’s the Right Fit for New U?

The ideal New U franchisee is drawn to both sides of the opportunity: the chance to build a profitable, scalable business and the chance to transform women’s lives in their community. Candidates may come from health care, business or entrepreneurial backgrounds, but they share a high level of emotional intelligence, a strong moral compass and a desire to lead with relationships rather than transactions.

“It’s definitely about finding the right owners. We’re looking for quality over quantity,” she said. “I’ll be slow at bringing in these franchisees because I’m really looking for the person. We can teach everything else, but you can’t teach how somebody is going to follow the direction of the ship.”

Early franchise interest has already confirmed that pull. “We have two potential franchisees who just know who I am,” Fidino said. “One has made it very clear: ‘I just want to be part of this brand. This brand is so incredible. I don’t want my own ship. I want to follow and just keep recreating this.’” 

For those who feel the same way — who want to be part of a values-driven community, follow a proven playbook and bring a truly unique women’s health and wellness franchise to their market — New U offers a compelling path forward.

For more information, visit: https://www.newuwomensclinic.com/franchise-locations/.

Don’t Miss the Next Big Franchise Story

Sign up for the 1851 Franchise newsletter to get our biggest stories before everyone else

By signing up, you agree to our user agreement (including class action waiver and arbitration provisions), and acknowledge our privacy policy.

Luca Piacentini

About the Author

Luca Piacentini

Follow

1851 Managing Editor

All Articles

No related articles found