PixioDoc vs Symplast: Which Medical Documentation Tool Is Right for Your Practice?
Mobile-first EHR and practice OS for plastic surgery and medspas — Best in KLAS 2026, native media management in the patient chart, demo-led pricing

PixioDoc is a standalone medical photo documentation app — free for up to 10 patients, Pro at €8.99/month, self-serve on iOS and Android. Symplast is a mobile-first EHR and practice OS for plastic surgery and medspas (Best in KLAS 2026) where media management lives inside the patient chart — capture, tagging, shareable sets, social export — sold via 30-minute demo with custom pricing. PixioDoc works alongside your existing EHR; Symplast replaces it.
Feature-by-feature comparison
| Feature | PixioDoc | Symplast |
|---|---|---|
| Product type | Standalone photo documentation app | All-in-one EHR and practice OS |
| Free tier | Up to 10 patients, no time limit | No self-serve free tier |
| Starting price | €8.99/month Pro (public) | Custom/demo pricing — not publicly listed |
| Self-serve signup | Yes — App Store and Google Play | 30-minute demo required |
| EHR replacement required | No — works alongside existing systems | Yes — Symplast is the EHR |
| In-chart media capture | Dedicated patient timeline app | Native to Symplast patient chart |
| Patient shareable photo sets | PDF reports and role-based sharing (Pro) | Patient-facing shareable sets built in |
| Social media export | Not included (clinical focus) | One-click social export from chart |
| Ghost / overlay capture | Adjustable ghost overlay (Pro) | In-app capture with tagging |
| Progress slider | Interactive before/after slider (Pro) | Before/after in media module |
| Patient PDF reports | Clinician-curated PDFs from selected sessions (Pro) | Chart-integrated — not standalone PDF handoffs |
| Charting, scheduling, billing | Not included | Full EHR/PM suite |
| Android support | Full iOS and Android apps | Mobile-first (iOS and Android) |
| Video capture | Native video up to 60 seconds | Video in media module |
| Specialty breadth | Dermatology, wound care, orthopedics, plastics, aesthetics | Plastic surgery and medspas primarily |
| EU data hosting | Yes — EU-hosted | US-focused platform |
Photo workflow without replacing your EHR
Symplast is the right buy when you are replacing your entire practice OS — charting, scheduling, payments, and media together. As a Symplast photo alternative, PixioDoc adds capture, compare, and share alongside Epic, ModMed, or any EHR you already run: ghost overlay, progress comparison, PDF reports, and a free tier — no 30-minute demo or platform migration.
- Works alongside Epic, ModMed, or any EHR you already use
- Self-serve free tier and €8.99/month Pro — no 30-minute demo required
- Progress slider, side-by-side, and multi-image comparison on Pro

Where PixioDoc excels
- Works alongside Epic, ModMed, or any EHR — no Symplast migration required
- Self-serve free tier and €8.99/month Pro — no 30-minute Symplast demo
- Public pricing vs Symplast's custom enterprise quotes
- PDF patient progress reports on Pro for referrers and patients
- Ghost overlay, progress slider, and 2–4 photo multi-image comparison on Pro
- Wound care and orthopedics supported — not limited to plastic surgery and medspas
- EU-hosted with encryption and in-app audit trails
Where Symplast excels
- Media management native to the patient chart — photos, tags, and notes in one EHR workflow
- Patient-facing shareable photo sets for post-procedure communication
- One-click social media export for practice marketing
- Best in KLAS 2026 for ambulatory plastic surgery — full practice OS, not just photos
Common questions about PixioDoc vs Symplast
Try PixioDoc free — no demo call required
Download the app, start with up to 10 patients at no cost, and upgrade when you're ready.