Practice management system custom build vs SaaS customization

This decision often comes down to workflow fit, data ownership, integration complexity, and how much operational change a team can absorb.

Points worth discussing:

• SaaS may be faster but can limit real workflow improvements

• Custom build gives flexibility but requires stronger product discipline

• Hybrid approaches sometimes win when one core workflow is the true differentiator

Where have you seen teams overestimate or underestimate custom software value?