Every new service line arrives wrapped in the promise of more revenue, and that promise hides the costs: equipment, training, inventory, added compliance surface, and the complexity of doing one more thing well. A bigger menu feels like growth and frequently just adds complexity a practice can't support. The discipline is adding a service because the demand and economics genuinely justify it — not because a competitor offers it or it's trending — and resisting the menu sprawl that dilutes focus.
This is general education for owners, not professional advice.