
Case · İstanbul Care · Medical tourism
12xaverage ROI
- Period
- 3 months (ongoing)
- Method
- Published on the project record: the average of the work so far
Roicool's international SEO service covers market prioritization, the choice between subfolder, subdomain or country domain, hreflang setup, separate keyword research for each language, localized content and measurement by language. The aim is to show users in each country the right page in their own language.
Last updated: 21 October 2026View as Markdown
Four problems we solve.

Scope
Deciding which markets to enter, and in what order, using country data in Search Console, sales enquiries and search volume in the target markets.
The choice of subfolder, subdomain or country domain; language switcher and automatic redirect rules.
Reciprocal hreflang pairs, x-default, and correct implementation in sitemaps or HTML.
Separate research for each language: the same service is searched with different words in different markets.
Adaptation, not translation: examples, currency, regulations, trust signals and contact details.
Reports by language and country in Search Console and GA4; a separate question set in each language for AI visibility.
Price: by scope, written in the proposalAsk for a proposal
+370%keywords ranking on Google, over 12 months (Oct 2025 = 100)
Our own site's Semrush data, as an index rather than raw counts: Oct 2025 = 100, Sep 2026 = 470. Mar → Sep 2026: +21%. The dips are real and stay in.
Source: Source: Semrush (roicool.com, Turkey database), October 2026 · Oct 2025 → Sep 2026
| Period | keywords ranking on Google, over 12 months (Oct 2025 = 100) |
|---|---|
| Eki | 100 |
| Kas | 110 |
| Ara | 229 |
| Oca | 327 |
| Şub | 376 |
| Mar | 390 |
| Nis | 361 |
| May | 414 |
| Haz | 437 |
| Tem | 402 |
| Ağu | 438 |
| Eyl | 470 |
+1,263%estimated monthly organic traffic, over 12 months (Oct 2025 = 100)
Semrush's estimated monthly organic traffic, as an index: Oct 2025 = 100, Sep 2026 = 1,363. Mar → Sep 2026: +65%.
Source: Source: Semrush (roicool.com, Turkey database), October 2026 · Oct 2025 → Sep 2026
| Period | estimated monthly organic traffic, over 12 months (Oct 2025 = 100) |
|---|---|
| Eki | 100 |
| Kas | 332 |
| Ara | 634 |
| Oca | 1,026 |
| Şub | 781 |
| Mar | 825 |
| Nis | 988 |
| May | 1,599 |
| Haz | 1,255 |
| Tem | 1,381 |
| Ağu | 1,636 |
| Eyl | 1,363 |
+583%AI Overview citations, Mar → Sep 2026 (Mar = 100)
Semrush's Turkey AI Overview data starts in March 2026, so the index starts there: Mar = 100, Sep = 683.
Source: Source: Semrush (roicool.com, Turkey database), October 2026 · Mar → Sep 2026
| Period | AI Overview citations, Mar → Sep 2026 (Mar = 100) |
|---|---|
| Mar | 100 |
| Nis | 167 |
| May | 250 |
| Haz | 350 |
| Tem | 417 |
| Ağu | 617 |
| Eyl | 683 |
Cases
Istanbul Care's ads are not pooled into one campaign set. Google Ads and Meta Ads are set up separately for each of 11 country and language splits, and each platform applies that breakdown on its own. CAPI feeds the conversion signal back without loss. The $120,000 monthly budget follows the architecture rather than a market list.
Read the İstanbul Care casePublished on the project record: the average of the work so far · 3 months (ongoing)
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Clutch profile“Roicool knew what they were doing and were ready to answer our questions with their expertise anytime.”
Sena Miskioğlu, SESTEK Marketing Manager ·
12x average ROI
Published on the project record: the average of the work so far · 3 months (ongoing)
Read the İstanbul Care caseStrategy, content, development and measurement in one team.

Partnerships and certifications
For most B2B companies a subfolder (e.g. /en/, /de/) is a good start, because it shares the authority of a single domain and is easy to manage. Country domains give a strong local signal, but each needs its own authority and management. The decision depends on the number of markets, whether you have local teams and your technical setup.
Translation moves text into another language; localization adapts search terms, currency, regulations, examples and trust signals to the market. The same service is searched with different words in two countries; keyword research should be done separately for each language.
If hreflang is wrong, Google may show users in one country the page in another language, or treat the pages as copies of each other. The most common error is missing reciprocal (return) links.
We decide from existing demand data: the country breakdown in Search Console, requests reaching the sales team, and search volume and competition in the target market. Doing one or two markets well at first is more efficient than opening many markets superficially.
The page in each language needs its own definition, evidence and FAQs, and the brand needs to appear with the same description in that market's directories and publications. Measurement also uses a separate question set for each language.
Let’s start
In a 30-minute intro call we listen to your goals and agree on the right first step.