I think it has become harder and harder for smaller brands to really stand out in any kind of search. This is especially true with small brands who face lots of competition form other small brands in large cities. How does one build name recognition in NYC as an acupuncturists when any given building may house 3 or 4 practitioners with the same address. Then these small businesses are facing the Google Possum filter. And in some cases brands without websites are showing up in the three pack over highly optimized websites.
Kristine Schachinger has 17 years digital experience including a focus on website design and implementation, accessibility standards and all aspects of website visibility involving SEO, social media and strategic planning. She additionally specializes in site health auditing, site forensics, technical SEO and site recovery planning especially when involving Google algorithms such as Penguin and Panda. Her seventeen years in design and development and eight years in online marketing give her a depth and breadth of understanding that comes from a broad exposure to not only digital marketing, but the complete product lifecycle along with the underlying technology and processes. She is a well known speaker, author and can be found on LinkedIn, Google+ and Twitter.
Google claims their users click (organic) search results more often than ads, essentially rebutting the research cited above. A 2012 Google study found that 81% of ad impressions and 66% of ad clicks happen when there is no associated organic search result on the first page. Research has shown that searchers may have a bias against ads, unless the ads are relevant to the searcher's need or intent 
James, you give a great template for how a business needs to move forward in their chosen niche online. Quite informative and the meeting of minds has been something a number of us have done online and in person to gain better insight into our small similar businesses. Thank you for sharing your detailed approach to increasing organic traffic...content still is king.
The ad auction process takes place every single time someone enters a search query into Google. To be entered into the ad auction, advertisers identify keywords they want to bid on, and state how much they are willing to spend (per click) to have their ads appear alongside results relating to those keywords. If Google determines that the keywords you have bid on are contained within a user’s search query, your ads are entered into the ad auction.
Let’s first take a quick look at what organic marketing is and what it is not. Organic marketing is an array of marketing disciplines that create a cohesive and comprehensive approach to inbound marketing. It is using the online search and traffic habits of potential clients to reach them by creating high-quality and high-visibility content for them to consume.
Organic is different. Matching keywords to user intent means you may be present in many searches. The user may find you consistently, and once they get to your site, they are more likely to stay. Organic users are still your best long-term customers. In my experience, they have lower bounce rates and more pages visited, and they are more likely to return.