Dr. Kaitlin Hoogeveen is a pediatric dentist in a small town in Iowa with just 7,000 people, yet she has grown exponentially and reached her current office capacity within 3 years of starting her practice. We discuss what life is like being the only pediatric dentist in an expansive rural setting, both the advantages and the challenges. We also talk about practice logo design, marketing in a small town, avoiding burnout, and also alternative techniques to conventional drill-and-fill dentistry. Casey and Kaitlin also share their thoughts on a recent online hot topic of how to respond if a parent flat-out refuses your proposed treatment.