We do both! Many of our clients are small El Paso business owners. For these clients, we usually recommend choosing a design template from our portfolio. This means that we can give you a great looking site design for a very low price, and we'll have it done quickly too!
On the other hand, if you have a very specific idea in mind or need special features, we can absolutely do web design from scratch. You'll get exactly what you want, but these projects can require several hundred man hours to complete.
For clients with specific design and feature requirements, the best value is in the middle. We can start with a design template and modify it as needed. Then for features, we can either license an existing plugin or design one from scratch. You can still get everything you need, and we don't have to reinvent the wheel!