If you have a root keyword similar to "liposuction" then you are going to be under major major attack from doctors who are willing to invest big money for an ongoing web visibility campaign.
A few things that I forgot to mention: my client owns the industry domain name. e.g. liposuction.com. Also the website has been live and owned by the same person since 2000.
1) a sustainable plan that will create and continuously increase a massive level of authority for my website..... an enormous library of best-on-the-web liposuction articles that attracts thousands of links from med schools, physicians, bloggers, government health sites, etc.... that thousands of people post to facebook and tweet about....
How would you go about this from an SEO stand point? Most of the traffic in the industry seems to be coming from local search. This strategy would appear to gain links and ultimately rankings for general search terms that are not at a local level.
What would you do with the local city pages? Would you get rid of them all together? Or would you keep them in place and ultimately have their rankings driven by the internal pagerank of the website? If you would keep them what sort of content would you have on these pages.
Thank you for your help. It's much appreciated.