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Wellness FitnessTop 10 Best Medi Spa Software of 2026
Ranked top 10 medi spa software for clinics, with workflow and feature comparisons for buyers; includes SpaGuru, Zenoti, and Boulevard.
How we ranked these tools
Core product claims cross-referenced against official documentation, changelogs, and independent technical reviews.
Analyzed video reviews and hundreds of written evaluations to capture real-world user experiences with each tool.
AI persona simulations modeled how different user types would experience each tool across common use cases and workflows.
Final rankings reviewed and approved by our editorial team with authority to override AI-generated scores based on domain expertise.
Score: Features 40% · Ease 30% · Value 30%
Gitnux may earn a commission through links on this page — this does not influence rankings. Editorial policy
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
SpaGuru
End-to-end appointment workflow that carries treatment context into billing and service records.
Built for fits when medi spa teams want appointment plus treatment history continuity..
Zenoti
Editor pickMulti-location admin configuration with staff RBAC and operational dashboards organized around utilization and sales performance.
Built for fits when medi spas need scheduling, patient records, and recurring-program automation with multi-location governance..
Boulevard
Editor pickText-based appointment and visit messaging tied to the visit workflow, including automated intake and follow-up steps.
Built for fits when medi spas need automated patient check-in and text workflows across appointments..
Related reading
Comparison Table
This comparison table reviews medi spa software options, including SpaGuru, Zenoti, Boulevard, Phorest, and Timely-based Spa Booking Software, across core workflow and operational controls. Each row highlights how the tools handle scheduling, client and service data structure, automation rules, and integration or API surface, then flags governance features like RBAC and audit logging where available.
SpaGuru
vertical specialistSpa management software for day spas, medi spas, and wellness centers.
End-to-end appointment workflow that carries treatment context into billing and service records.
SpaGuru is built around medi spa operations where appointments, service selections, and billing outcomes need consistent linkage across staff and locations. It supports lead intake to booking conversion, then carries those records through service and invoice states. Staff assignment and calendar visibility are used to manage capacity and reduce scheduling errors.
A tradeoff is that workflows stay focused on medi spa visit handling, so practices needing highly customized CRM behaviors may still require external tooling. SpaGuru fits when a team wants centralized appointment plus treatment record management without building separate systems for intake, scheduling, and service history.
Automation is most useful when the clinic standardizes visit stages and follow-up steps. It works best for recurring treatment plans where the same intake and documentation steps apply across most patients.
- +Appointment-to-service-to-invoice linkage reduces reconciliation work
- +Lead to booking conversion supports faster patient intake
- +Staff scheduling and assignment visibility improves capacity planning
- +Automation ties booking actions to downstream follow-up tasks
- –Highly specialized CRM workflows may need external support
- –Complex multi-location governance can require more configuration effort
- –Deep customization of forms and fields may lag compared to niche tools
- –Reporting flexibility can be limited for ad hoc operational metrics
Front desk teams
Reduce scheduling and documentation mismatches
Faster check-in accuracy
Practice managers
Track capacity by therapist and day
Better utilization visibility
Show 2 more scenarios
Operations staff
Automate post-book follow-ups
Lower manual follow-ups
Trigger follow-up tasks from booking events to keep documentation and patient communications on track.
Billing coordinators
Align services with invoices
Fewer billing errors
Keep service selections attached to visits so invoicing reflects what was actually delivered.
Best for: Fits when medi spa teams want appointment plus treatment history continuity.
More related reading
Zenoti
enterpriseCloud-based platform for spa, salon, and med spa management with EMR, scheduling, and payments.
Multi-location admin configuration with staff RBAC and operational dashboards organized around utilization and sales performance.
Zenoti’s core workflow maps to how medi spas operate: intake and patient profiles, appointment scheduling, service booking from a catalog, and ongoing revenue tracking through services and retail items. Operational reporting covers utilization, sales performance, and service mix, and it is typically organized around locations and staff assignments. Staff permissions can be configured with role-based access controls so different teams can run reception, clinical booking, and reporting tasks with separated privileges.
A tradeoff is that deep configuration around services, membership rules, and custom workflows can take time to model correctly before day-to-day use. Zenoti fits teams that need structured automation across front desk scheduling, recurring programs, and multi-location governance rather than just simple booking capture. It is also a stronger fit when integrations for payments, marketing, and data exchange need to follow a documented API surface and event-driven sync patterns.
- +Appointment scheduling tied to patient profiles and service catalog
- +Role-based access supports separated reception and reporting duties
- +Recurring programs and membership logic connected to transactions
- +Operational dashboards track utilization and sales by location
- –Service and automation setup requires careful upfront configuration
- –Custom workflow changes can be slower than spreadsheet-driven processes
- –Advanced reporting layouts may require training for consistent use
Front desk operations teams
Reduce scheduling errors across multiple providers
Fewer reschedules and cleaner records
Practice operations managers
Standardize memberships and recurring offers
Higher retention from consistent offers
Show 2 more scenarios
Owner and admin governance
Control permissions across locations
Lower access risk
Role-based access restricts reporting and operational actions by staff function.
Data and integrations teams
Sync patient and transaction data externally
More consistent cross-system data
API-driven integrations support data exchange for downstream systems and reporting pipelines.
Best for: Fits when medi spas need scheduling, patient records, and recurring-program automation with multi-location governance.
Boulevard
SMBClient experience platform for appointment-based businesses including med spas.
Text-based appointment and visit messaging tied to the visit workflow, including automated intake and follow-up steps.
Boulevard provides digital intake and check-in to collect patient details before service starts. Messaging tools support automated text updates around scheduling, visit readiness, and follow-up tasks. Admin controls support role-based access for staff workflows, with auditability through activity histories tied to patient and appointment actions.
A key tradeoff is that Boulevard is not a full replacement for clinical EHR documentation for every specialty workflow. It fits teams that want tighter appointment and communication automation with existing clinical charting handled elsewhere. The best outcomes show up when patient data is used consistently across intake, service, and follow-up stages.
- +Digital check-in and intake reduce front-desk data entry
- +Text-driven appointment and visit status updates cut manual follow-ups
- +Workflow automation connects scheduling steps to patient communications
- +API extensibility supports integration with external systems
- –Not a substitute for deep clinical documentation and charting
- –Advanced customization requires configuration discipline and staff buy-in
- –Reporting depth depends on how external systems feed data
- –Multi-location governance needs careful role and process alignment
Front-desk and intake teams
Reduce intake and check-in workload
Faster check-in throughput
Marketing and patient success
Standardize post-visit follow-ups
Higher follow-up completion
Show 2 more scenarios
Operations and scheduling managers
Lower no-shows with status updates
Fewer missed appointments
Appointment messaging updates patients on visit readiness and timing to reduce missed visits.
RevOps and systems integration
Connect scheduling and CRM data
Fewer manual data transfers
API integrations synchronize patient and appointment events across external tools for automation.
Best for: Fits when medi spas need automated patient check-in and text workflows across appointments.
Phorest
SMBSalon and spa management software with booking, marketing, and loyalty features.
Appointment scheduling plus client management integrated with online booking and extensibility via API-based integrations.
Phorest is medi spa software built around appointment scheduling and end-to-end client management for beauty and wellness services. It supports online booking, intake-style client records, and therapist and resource scheduling that map to day-to-day clinic operations.
Automation features like reminders and marketing-style communications reduce no-shows and repetition in admin tasks. Integrations and an API-backed extensibility layer allow connected point-of-sale, payments, and workflow add-ons to fit into existing toolchains.
- +Scheduling and client records cover typical medi spa day-to-day workflows
- +Online booking reduces manual appointment intake work
- +Automation tools support reminders and repeatable client communications
- +Integration and API access improve extensibility across clinic systems
- –Clinical documentation needs can exceed what standard wellness workflows cover
- –Advanced governance for multi-location roles may require configuration
- –Some workflows rely on template setup that takes admin time
- –Extensibility depends on add-ons that may not match every clinic process
Best for: Fits when a medi spa needs strong scheduling, client records, and automation with integration room.
Spa Booking Software by Timely
SMBAppointment scheduling and management for salons and spas.
Online booking that respects staff, service, and availability configuration to control what patients can schedule.
Spa Booking Software by Timely schedules spa and med spa appointments with an online booking page that supports staff and service configuration. Core workflows include appointment management, automated reminders, and intake-ready booking details that help reduce front desk back-and-forth.
Admin controls cover business hours, service pricing inputs, and team availability rules that shape what patients can book. Automation and integrations are built around Timely connectivity, with an API surface intended for synchronizing schedules and customer data across connected systems.
- +Appointment scheduling works with staff, services, and availability rules
- +Automated reminders reduce missed appointments and manual follow-ups
- +Admin configuration limits booking to controlled hours and team availability
- +API supports schedule and customer synchronization for integrations
- –Deep med spa intake workflows may require add-ons outside core booking
- –Role-based governance controls may be limited for multi-location administration
- –Extensive automation scenarios can require external system coordination
- –Reporting depth for clinical operations depends on connected tools
Best for: Fits when med spa teams need appointment scheduling with automation and integration hooks for connected systems.
Vagaro
SMBBooking, POS, and management software for salons, spas, and fitness businesses.
Appointment and service catalog management with staff scheduling and integrated receipts.
Vagaro fits medi spa teams that need appointment scheduling, therapist time tracking, and service catalog management in one workflow. It supports client records, intake-style forms, and staff scheduling for services that can include add-ons and package sessions.
Built-in payments and receipts connect to appointments so staff can close the loop without switching systems. Reporting focuses on schedules and service performance, which is useful for tracking utilization and rebooking outcomes.
- +Service catalog supports custom offerings, add-ons, and packages
- +Staff scheduling handles multi-staff calendars and time allocation
- +Client profiles keep appointment history and notes in one place
- +Receipts and payments reduce end-of-appointment admin work
- –Medi spa specific workflows need configuration to match clinical intake
- –Automation depth for follow-ups and campaigns is limited versus dedicated CRM
- –Integration options may be insufficient for enterprise EHR and BI needs
- –Advanced governance controls like granular RBAC and audit logs can be constrained
Best for: Fits when medi spas need scheduling and client records with low setup overhead.
Mindbody
enterpriseWellness and fitness business management with scheduling, payments, and marketing.
Integrated online booking and service catalog structure that drives appointment scheduling and client history use across teams.
Mindbody is a medi spa software suite built on a consumer wellness and booking workflow, with strong support for online scheduling and client records. Appointment management, staff scheduling, and service catalogs map cleanly to treatment-based operations like injectables, skin treatments, and packages.
The platform also supports integrations around payments, marketing, and data exchange, which matters when clinics need cross-system reporting and centralized client history. Administrative controls cover common clinic governance needs like user roles for front-desk and back-office users and operational visibility across locations.
- +Appointment scheduling and service catalog model fits treatment workflows
- +Client profile records support longitudinal treatment and visit context
- +Multi-location operations align with clinic chain staffing and scheduling
- +Integration options support data flow for payments, marketing, and reporting
- –Medi spa clinical documentation needs may require add-ons
- –Workflow customization can be limited for highly bespoke approval paths
- –Some admin configuration changes can be operationally disruptive
- –Extensibility often depends on integration partners and setup effort
Best for: Fits when clinics need strong booking and client record workflows across multiple locations.
Fresha
SMBBooking and business management platform for salons and spas.
Unified scheduling, client records, and point-of-sale in one operational workflow.
Fresha is built for appointment-led med spa operations, with bookings, client records, and built-in payments to reduce manual handoffs. The system supports staff scheduling, treatment cataloging, and point-of-sale workflows that map to common beauty and wellness services used in med spa settings.
Fresha also provides marketing and automation primitives such as customer messaging, promotions, and reminders to drive repeat visits. Extensibility is supported through an integration and API surface aimed at connecting clinic tools for scheduling, payments, and operational reporting.
- +Appointment scheduling, client profiles, and payments in one workflow
- +Treatment catalog supports recurring services and staff assignment
- +Built-in messaging and promotions for visit reminders
- +Admin controls cover locations, staff roles, and operational setup
- –Medi spa compliance workflows require careful configuration
- –Advanced reporting needs deeper setup for multi-location rollups
- –Some med spa specialty inventory needs tighter data modeling
- –Automation depth can lag dedicated CRM and clinical systems
Best for: Fits when med spa teams need appointment and POS workflows with messaging automation across one or more locations.
AestheticsPro
vertical specialistCloud EMR and practice management for medical aesthetics and med spas.
Visit-linked forms and treatment documentation keep client history consistent across scheduling and care steps.
AestheticsPro manages patient intake, appointments, and treatment workflows for aesthetics practices in one place. It supports lead capture, forms, and visit documentation tied to specific clients so records stay connected across visits.
The system includes marketing-facing assets such as automated follow-ups and appointment reminders that reduce no-shows. Built-in admin controls cover multi-user access and operational recordkeeping for clinics that need consistent documentation.
- +Client record continuity across intake, visits, and documentation
- +Appointment scheduling and reminders designed for clinic throughput
- +Workflow forms link directly to visits and treatments
- +Multi-user administration supports role-based clinic operations
- –Limited visibility into the automation rules behind follow-up timing
- –Fewer integration options than suites that support deeper practice ecosystems
- –Reporting depth can feel narrow for multi-location governance needs
- –Customization relies on built-in fields rather than extensible schema
Best for: Fits when a single location needs integrated scheduling, documentation, and reminders without heavy IT work.
Pabau
vertical specialistClinic management software for medical spas and aesthetic clinics.
Workflow automation that triggers reminders and communications from appointment and status changes across the client lifecycle.
Pabau fits medi spa teams that need appointment scheduling plus patient intake and marketing automation tied to the same operational workflow. It centralizes leads, clients, appointments, treatments, and payments-style records so staff can run consultations, bookings, and follow-ups without switching systems.
It also supports configurable automation rules across status changes, reminders, and communications to reduce manual chase-down work. Admin oversight is handled through user permissions and workflow controls that keep access constrained across front desk, clinical staff, and management roles.
- +Unified workflow links leads, bookings, and follow-ups
- +Configurable automations reduce manual reminder work
- +User permissions support role-based access for staff
- +Built-in reporting covers operations and campaign performance
- –Automation complexity increases configuration time for multi-branch workflows
- –Less granular governance tools than dedicated enterprise CRMs
- –API documentation and integration depth vary by module
- –Customization can create maintenance overhead for admins
Best for: Fits when a single system must coordinate booking, treatment records, and automated follow-ups for multi-role staff.
Conclusion
After evaluating 10 wellness fitness, SpaGuru stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right medi spa software
This buyer’s guide maps the medi spa workflow to specific software capabilities across SpaGuru, Zenoti, Boulevard, Phorest, Timely, Vagaro, Mindbody, Fresha, AestheticsPro, and Pabau. It focuses on appointment-to-visit flow, treatment and intake continuity, automation triggers, admin governance, and integration-ready extensibility.
Use it to compare how each tool links scheduling to downstream records, how it handles multi-location roles, and how its automation and API surface affects operational throughput. The guide also covers common configuration pitfalls that show up when clinical documentation needs exceed scheduling-first platforms like Boulevard and Fresha.
Medi spa software built around the appointment-to-treatment-to-follow-up workflow
Medi spa software is the system that coordinates patient scheduling, intake or forms, service or treatment delivery, and follow-up communications inside one operational workflow. It reduces manual handoffs by connecting the visit timeline to the records staff need at the front desk, during the session, and after the appointment.
Tools like SpaGuru carry treatment context through to billing and service records end to end. Zenoti adds multi-location admin configuration with staff RBAC and operational dashboards that track utilization and sales by location for clinics running recurring programs.
What to evaluate in medi spa software: workflow continuity, automation triggers, and governance
Medi spa teams do not just need scheduling. They need continuity from the booking action to intake steps, treatment records, and post-visit follow-ups.
Evaluation should also cover automation scope and governance controls. Zenoti organizes dashboards and permissions around locations and staff roles, while Boulevard and Fresha focus on visit lifecycle messaging and POS-connected operations.
Appointment-to-downstream record linkage
SpaGuru is built to carry an appointment through treatment context into billing and service records, which reduces reconciliation work after visits. This type of linkage matters because it prevents staff from rebuilding the visit history across separate systems, a problem that can otherwise slow operations.
Visit lifecycle check-in and messaging automation
Boulevard ties text-driven appointment and visit status updates to the visit workflow, including automated intake and follow-up steps. Fresha also includes customer messaging, promotions, and reminders to drive repeat visits from the same operational record.
Clinical-style intake and visit-linked forms
AestheticsPro keeps visit-linked forms and treatment documentation tied to specific clients so client history stays consistent across scheduling and care steps. Pabau also centralizes leads, clients, appointments, treatments, and payments-style records so consultations and follow-ups stay connected.
Multi-location governance with staff RBAC
Zenoti provides multi-location admin configuration with staff RBAC and operational dashboards organized around utilization and sales performance. Boulevard and Phorest can require careful role and process alignment for multi-location governance, which affects how quickly teams can scale without breaking workflows.
Recurring programs and membership logic tied to transactions
Zenoti connects recurring programs and membership logic to transactions, which supports retention workflows without stitching extra tools together. This matters for practices running ongoing treatment plans where follow-up scheduling is driven by transactional history.
Extensibility via integration and API surface
Phorest emphasizes API-backed extensibility to connect clinic systems like POS and workflow add-ons around scheduling and client records. Boulevard and Timely also highlight integration hooks and API extensibility for synchronizing schedules and customer data with external systems.
Choose based on workflow ownership: front desk intake, clinical records, or messaging throughput
Picking medi spa software is easiest when the intended workflow owner is clear. Scheduling-first tools that excel at communication and throughput, like Boulevard and Fresha, may not replace deeper clinical documentation needs.
Teams should then match automation triggers and governance requirements to the tool’s native model. Zenoti fits clinics that need multi-location RBAC and dashboards around utilization and sales, while SpaGuru fits teams that want treatment context carried through billing and service records.
Map the end-to-end handoffs that must stay connected
Identify whether the practice needs appointment context to flow into treatment records and then into billing and service records. SpaGuru is designed for appointment-to-service-to-invoice linkage, while Vagaro keeps appointment and service catalog management tied to receipts and payments at the end of the visit.
Decide where intake and documentation depth must live
If visit-linked forms and treatment documentation must stay connected across appointments, AestheticsPro provides visit-linked forms and treatment documentation that keep client history consistent. If the main need is intake and scheduling throughput with messaging, Boulevard and Fresha focus on digital check-in, intake capture, and text-driven visit updates.
Match automation triggers to the way the clinic runs follow-ups
For status-change driven reminders and communications, Pabau triggers reminders and communications from appointment and status changes across the client lifecycle. For reminder and repeat-visit messaging anchored in the visit lifecycle, Boulevard and Fresha provide customer messaging, promotions, and reminders.
Validate multi-location governance needs before committing to configuration-heavy workflows
If the clinic runs multiple locations and needs staff RBAC and location-organized dashboards, Zenoti is designed around multi-location admin configuration. If multi-location governance is less strict, Vagaro and Mindbody fit multi-location scheduling and client record workflows, but clinical documentation and bespoke approval paths may still need additional setup.
Confirm integration and API fit for the practice’s existing ecosystem
For teams that need connected POS, payments, or workflow add-ons, Phorest emphasizes API-based integrations and extensibility tied to scheduling and client records. Boulevard and Timely also emphasize API and integration hooks for schedule and customer synchronization, so connected systems can receive the data needed for automation.
Check reporting depth against operational metrics, not just service outcomes
If the clinic needs operational dashboards organized around utilization and sales performance, Zenoti supports that structure by location and staff roles. If reporting depth will rely on data feeding from other systems, Boulevard’s reporting depth depends on how external systems provide data, which can change implementation effort.
Which medi spa teams should pick each tool based on workflow fit
Different medi spa operations optimize for different choke points. Some practices need clinical documentation continuity, others need communication throughput, and others need multi-location governance and recurring program logic.
The best choice matches the clinic’s workflow owner to the tool’s native workflow structure. The segments below map to each platform’s stated best-fit use case.
Appointment and treatment history continuity teams
SpaGuru fits practices that want an end-to-end appointment workflow that carries treatment context into billing and service records. This match is strongest for teams where visit reconciliation and downstream record accuracy drive daily operations.
Multi-location clinics with RBAC and recurring program automation
Zenoti fits medi spas that need scheduling, patient records, and recurring-program automation with multi-location governance. It is the most aligned option for staff RBAC and dashboards organized around utilization and sales performance.
Practices prioritizing text-based check-in and visit status messaging
Boulevard fits medi spa teams that need automated patient check-in and text workflows across appointments. It is best when visit lifecycle messaging and intake capture reduce front-desk back-and-forth.
Single-location or light-governance scheduling and POS operations
Fresha fits teams that want unified scheduling, client records, and point-of-sale in one workflow with messaging automation. Vagaro fits teams that want service catalog management, staff scheduling, and integrated receipts with low setup overhead.
Medical aesthetics teams needing EMR-style visit-linked documentation
AestheticsPro fits a single location that needs integrated scheduling, documentation, and reminders without heavy IT work. It is best when visit-linked forms and treatment documentation must stay connected across scheduling and care steps.
Common medi spa software pitfalls that slow rollout or break workflows
Many medi spa rollouts fail when the operational workflow is assumed to be interchangeable across tools. A scheduling-first platform can still run bookings, but it can fall short when clinical documentation and governance rules must be strict.
The pitfalls below map to the specific limitations reported across SpaGuru, Zenoti, Boulevard, Phorest, Timely, Vagaro, Mindbody, Fresha, AestheticsPro, and Pabau.
Expecting scheduling and texting tools to replace clinical documentation
Boulevard and Fresha can automate check-in and messaging, but they are not a substitute for deep clinical documentation and charting. When clinical documentation depth is required, AestheticsPro provides visit-linked forms and treatment documentation tied to visits.
Underestimating multi-location governance configuration effort
Zenoti supports multi-location governance with staff RBAC, but Boulevard and Phorest can require careful role and process alignment for multi-location operations. Complex multi-location governance in SpaGuru also can require more configuration effort, so governance mapping should be done early.
Building automation without validating reporting and operational metrics
Pabau can trigger reminders and communications from appointment and status changes, but automation complexity can increase configuration time for multi-branch workflows. Boulevard reporting depth also depends on how external systems feed data, so automation design must align with the metrics used day to day.
Assuming deep med spa intake workflows exist in scheduling-only cores
Timely’s online booking respects staff, service, and availability configuration, but deep med spa intake workflows can require add-ons outside core booking. Vagaro and Phorest can also require configuration to match clinical intake when documentation requirements exceed wellness workflows.
Over-customizing forms and fields without a governance plan
SpaGuru supports deep customization of forms and fields, but deep customization may lag compared to niche tools and can increase admin work later. AestheticsPro customization relies on built-in fields rather than extensible schema, so schema-like change requirements can create friction if a clinic expects high extensibility.
How We Selected and Ranked These Tools
We evaluated SpaGuru, Zenoti, Boulevard, Phorest, Timely, Vagaro, Mindbody, Fresha, AestheticsPro, and Pabau on feature coverage for appointment-led medi spa operations, ease of use for day-to-day staff workflows, and value as implemented workflow outcomes. Features carried the most weight because medi spa software success depends on how appointment workflows connect to intake, treatment or service records, and post-visit follow-ups rather than on interfaces alone. We also used a weighted average approach in which ease of use and value each mattered heavily, which keeps tools with fragile operational setup from ranking too high.
SpaGuru stood apart for end-to-end appointment workflow continuity that carries treatment context into billing and service records, which directly lifts feature score and supports its highest operational focus. That linkage reduces reconciliation work and makes downstream records consistent, which maps to the strongest fit category for teams that require appointment plus treatment history continuity.
Frequently Asked Questions About medi spa software
Which medi spa systems carry treatment context from appointments into records or billing workflows?
What medi spa platforms support multi-location admin controls with role-based access?
How do integration and API extensibility differ across appointment-led platforms?
Which tools reduce front desk handoffs by automating check-in, intake, and follow-ups?
What systems are best suited for recurring programs and retention workflows tied to transactions?
Which platforms handle built-in payments and receipts without forcing staff to switch systems?
How do appointment availability configuration controls differ for preventing scheduling errors?
Which tools focus more on operational throughput than deep clinical charting?
What is the most direct way to start with a medi spa workflow migration from spreadsheets or a legacy scheduling tool?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
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