Proximity is the input you cannot buy
Relevance and reputation can both be improved. Distance cannot. In a city where competitors sit a few blocks apart, that single fixed input decides a large share of who appears in the local pack.
Accepting it early saves money. Chasing a citywide first place is the most common way a San Francisco business wastes a year of search budget.
Organic results play by different rules
Below the map, distance matters far less. A page that genuinely answers a question can be read by someone anywhere in the city, and by someone comparing options before they ever open a map.
That is where a business with an awkward location gets its reach back, and it is the half of local search most competitors here neglect entirely.
The category is more competitive than the population suggests
This is a small city with an unusually sophisticated set of advertisers, because the search industry itself is well represented here. Basic optimisation does not get you far.
What still works is specificity: real service pages, real answers, real photographs, and reviews that mention the thing the customer actually wanted.