When I get calls and emails from people in the southern part of New Jersey, the client and I are faced with a bit of a predicament. I would liken it to a planet's gravitational pull. People in South Jersey, especially Southwestern New Jersey, who are searching for professional services online, do not search for New Jersey terms.
There's a common-sense psychology to search engine marketing strategy that most people don't realize. Even if someone lives several miles outside of Philadelphia (or any major metropolitan area), even if they live across a nearby state line as in our South Jersey scenario, they will still tend to search using the broader term because they are narrowing their search, starting broad, and ending narrow. It's for this reason that statewide searches, while seemingly desirable, are not as important as the major metropolitan search (in this case Philadelphia for New Jersey even though Philadelphia isn't part of New Jersey).
Occasionally, the users will assume that they have to drive into the city in order to see the best doctor/lawyer, so they will do a search for something like "philadelphia cosmetic surgeon". When they find someone who is near them and whose website they connected with, they are likely to email that doctor.
In general, it doesn't hurt to optimize for a couple smaller locations along with the major metropolitan area (i.e. Trenton in addition to Philadelphia), but you don't want to try to optimize your entire website for every bedroom community out there. The search engines won't understand which phrase is most important, and they won't see that you intend to appeal to any specific location. Consequently, you'll likely only show up for the least competitive, least desirable searches.
Instead, you can pick up the lesser areas with an inexpensive pay-per-click campaign if you absolutely have to be there when that rare search comes about. You can also use a page or two of content that is focused on that area and optimize that page for that specific locale, but that's another blog entry.

So, whether you're in Philadephia or not, whether you're a plastic surgeon, a cosmetic dentist, a lasik surgeon, or an attorney, be sure to prioritize the locations that you will target with your website marketing starting with the major metropolitan area and expanding to smaller location names only as necessary.
Labels: For Attorneys, For Dentists, For Ophthalmologists, For Plastic Surgeons, Keywords, Optimization