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I just came at it from the stand point, that if he is worried about a couple links on a med site, he has bigger problems. Like, can he trust his seo?
Are these links only on one page on your site, or are they on every page on your site, or what?
I am a medical doctor who specializes in Procedure X. I recently hired "SEO Co." to help me gain visibility for geographically targeted terms such as "Procedure X my city" and "Procedure X my state".
One reason I chose SEO Co. is that they run two authority sites on Procedure X. Authority Site 1 is a PR6 megasite that dominates Procedure X rankings and Authority Site 2 is a PR5 site that is also on page one of Google. As a part of the SEO package, I got a physician profile page on each Authority Site, complete with links to my site.
Question for the OP:
If you were a person contemplating having "Procedure X" done, which of these sites would be most beneficial to you?
"Authority Site 1", "Authority Site 2", "Your Site"
you'll need to make sure your content is up to the task of attempting to overtake the authority site(s).
He is only trying to rank for his procedure plus city and state. It usually isn't hard to beat a generic authority site on your own for local terms because the authority site's back links tend to be less location specific.
It is fairly common for website design companies to put a "designed by" link on the bottom of your site.
It is fairly common for website design companies to put a "designed by" link on the bottom of your site.