Cliniko vs Wave: Which Tool Wins for Australian Businesses in 2026?

Full onboarding for either Cliniko or Wave, including configuration, data import, and team training, typically takes 4-8 weeks with Clever Ops support. Self-service onboarding can take longer and often results in suboptimal configurations that limit the platform's value.

Cliniko uses a REST API (REST API with API key authentication (user-specific shard URL). Rate limited to 200 requests per minute. JSON responses with HAL links for pagination. Webhook support available. Australian-hosted data.), while Wave uses a REST API (GraphQL API (migrated from REST). OAuth 2.0 authentication. Rate limits apply per OAuth token. Pagination uses cursor-based approach. Some legacy endpoints still available via REST.). Cliniko supports 7 core data objects; Wave supports 8. With 12+ of integration experience, Clever Ops can tell you exactly how each API performs in production.

We audit your current workflows, team size, budget, and growth plans, then recommend the platform that fits. Our advice is vendor-neutral: we do not earn commissions from Cliniko, Wave, or any vendor. Our Harvard-educated consultants have helped 50+ businesses make informed technology decisions over 12+. Book a free assessment to get started.

Cliniko strengths: Purpose-built for allied health with patient records, treatment notes, telehealth, and Medicare/DVA claiming built into the workflow. Online booking with practitioner availability, service selection, and intake forms reduces receptionist workload and fills empty appointment slots. Wave strengths: Completely free accounting and invoicing with no feature limitations, hidden fees, or artificial caps on transactions or customers. Clean, modern interface that is easy to learn for business owners without accounting backgrounds. The features that matter most depend on your team's daily workflows and growth plans. Clever Ops can help you map your requirements to the right platform.

Yes. Both platforms share 1 common data object types (including invoices), which simplifies field mapping. Clever Ops runs a structured migration process: discovery, data mapping, test migration, verification, and cutover. Most migrations complete within 4-8 weeks, with 3 months of post-migration support included.

Switching costs include data migration, team retraining, workflow rebuilding, and potential downtime. Cliniko pricing: Solo from approximately $55/month (1 practitioner), Team from approximately $109/month (2-5 practitioners), Growing from approximately $179/month (6-10 practitioners), Large from approximately $279/month (AUD). Wave pricing: Accounting and invoicing are completely free. Beyond licensing costs, budget for implementation (Clever Ops typically completes migrations in 4-8 weeks) and training. We run parallel systems during transitions and provide 3 months of post-migration support to minimise disruption.

Cliniko may hit limits when medical practices needing GP-specific features (prescribing, pathology ordering) where Best Practice or Medical Director are more appropriate, or fitness businesses where Mindbody is better suited. Wave may hit limits when Australian businesses needing GST, BAS, or STP compliance, or any business requiring inventory management, project tracking, or extensive third-party integrations. Both platforms are designed to grow with your business, but scaling experience varies. Cliniko connects with 44+ tools, and Wave with 33+, so integration flexibility at scale is comparable. Clever Ops helps mid-market Australian businesses plan their tech stack for growth, not just for today.

Both Cliniko and Wave provide standard security measures including encryption, access controls, and compliance certifications. Cliniko uses a REST API and Wave uses REST, both supporting secure data transfer. For Australian businesses handling sensitive data under the Privacy Act, data residency and local support are worth verifying with each vendor. Clever Ops, based in Gippsland, Victoria, can review each platform's security posture against your compliance requirements during a free assessment.