Yes, I am just beginning to start a "real" VA business. I've done medical transcription and general office work for more years than I care to acknowledge. I've never needed a website or all of the other nuances since I just worked for those that I knew and they kept me busy enough for the most part. Then I decided to go back to a "real" job because I needed health insurance and my main source of income closed his practice. Ugh. I hate it. Nor sure it's worth the price of the insurance. But, I do like being my own boss, so I'm learning what needs to be done to do it right.