Slow, bureaucratic, and low output for the money
I worked with Median Ads for one month with a ~$1000 test budget. Sharing my experience for anyone considering them.
The first ad campaign was launched only on day 14. The first two weeks were spent on "analysis" (checking caps, reviewing past campaigns, looking for email base for LAL audiences) - work that realistically takes a couple of hours for one specialist, not two weeks.
Over the full month I got 6 weak creatives. New campaigns were launched on old, already burned-out creatives, despite me flagging on the kickoff call that this was a losing strategy. The creative brief took 4 days to produce and I had to rewrite ~90% of it manually.
Communication with the assigned media buyer was difficult - straightforward questions got off-topic answers, and reaction time on requested changes was 2+ days. The level felt junior.
Results: ~$1000 spent, ~$1200 in attributed sales (averaged across 3 attribution models). For the price and timeline, output was very low.
One genuine positive: the sales manager is excellent and the team lead is reasonable - but neither can override the internal "corporate" pace of the agency.
My take: may suit large companies with no urgency and a need for formal reporting. Not a fit for SMB owners who value speed, iteration, and hands-on involvement. A mid-level freelance media buyer at the same price will likely deliver more.