Planners have approved an application to turn a garage into an osteopath surgery despite a petition from 61 residents.
The proposal will see a residential garage and workshop at 205, Creynolds Lane, Cheswick Green converted.
Residents had feared it would increase noise as well as damage the green belt and surrounding landscape.
Coun John Windmill (Lib Dem, Olton) attempted to defer the decision for a site visit due to its unpopularity but was defeated by five votes to four.
But Coun Alan Martin (Con, Bickenhill) praised the plans for helping to boost the local economy.
“I think it’s a very useful thing to have an osteopaths, very few people I know haven’t had back trouble at some point in their life,” he said.
“They won’t want large crowds of people, it will be by appointment only. As far as the green belt is concerned, it’s quite far from the road.”