Existing auto-bidding algorithms in digital advertising often treat the value of an ad opportunity as the revenue obtained when an ad is shown and/or clicked, and bid accordingly. This can lead to wasteful spending because the true value is the marginal gain from paid exposure: even without winning a sponsored slot, an advertiser may still earn revenue via an organic search result (e.g., on Google or Amazon). Motivated by recent work, we model ad value as a treatment effect--the outcome difference between winning and losing the auction--and study online learning for bidding in second-price (Vickrey) auctions under this causal perspective. We develop algorithms that attain rate-optimal regret under several feedback models. A key ingredient exploits the information revealed by the second-price payment rule, which strictly improves regret relative to analogous learning problems in first-price auctions.