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James Smith


Director, Male Sexual & Reproductive Health
Basketball coach and fan, squash player

Dr. James Smith directs the UCSF team that provides fertility preservation counseling and treatments for men. He evaluates and cares for men with general fertility problems, low testosterone, erectile dysfunction and Peyronie's disease. He specializes in sperm retrieval, microsurgical approaches to vasectomy reversal and surgery to remove enlarged veins in the scrotum.

The overall focus of Smith's research is to improve understanding of male reproductive biology, and he seeks to translate his findings on these mechanisms into better fertility treatments.

Smith earned both his medical degree and his master's degree in health and medical science in the joint medical program of UCSF and the University of California, Berkeley. He trained in general surgery and urology at the University of Utah, returning to UCSF to complete a fellowship in andrology (the study of the male reproductive system).

Smith is an active member of the American Urological Association, American Society for Reproductive Medicine, Society of Reproductive Surgeons, Society for Male Reproduction and Urology, and Sexual Medicine Society of North America.

A basketball fan, Smith loves coaching his daughter's team and cheering for local kids' teams as well as the Golden State Warriors.

  • Education

    UCSF School of Medicine, 2002

  • Residencies

    University of Utah, Surgery and Urology, 2007

  • Fellowships

    UCSF Medical Center, Male Reproductive Health, 2009

  • Board Certifications

    Urology, American Board of Urology

  • Academic Title

    Associate Professor

I aim to grow UCSF Male Sexual & Reproductive Health into a world-class center of excellence in research and patient care.

Where I see patients (3)

    My reviews


    Overall Experience
    159 Ratings
    About our process
    Aug 21, 2023
    Dr. Smith was awesome. Really grateful for all he did. I had a very emotional surgery and the outcome wasn't what we hoped for but he really made everything feel better leading up to and after the procedure. He made up for the embarrassing communication of UCSF. Wish it was easier to coordinate and contact him though which is why I would never recommend anyone to him. Too hard with MyChart and not being able to contact the "schedulers.
    Mar 01, 2023
    Friendly and easy to understand. The doctor provided me with all the info I needed to make an informed decision about a surgical procedure I have been considering.
    Feb 15, 2023
    Really great appointment. Super happy to be getting worked on by an obviously talented doctor like this.
    Jan 14, 2023
    Dr. Smith's care was exceptional.
    Jan 12, 2023
    The provider is very good and polite.
    Dec 12, 2022
    Dr Smith and his staff from Urology are the best!
    Dec 10, 2022
    Very satisfied
    Dec 07, 2022
    Zero star
    Oct 20, 2022
    Dr. Smith is terrific. He's the very best!
    Sep 29, 2022
    Dr. Jim Smith was terrific.
    Sep 19, 2022
    He was very personable and friendly. Also. A good listener.
    Sep 19, 2022
    Doctor and nurse performing the procedure were both excellent.
    Sep 14, 2022
    I have recommended UCSF Urology to at least a dozen men since my surgery years ago. You folks are tops.
    Sep 11, 2022
    Dr. Smith is extremely attentive and really helps break it medical explanations in layman's terms. Mr. Smith is amazing and possesses a calm demeanor.
    Sep 11, 2022
    Excellent experience
    Sep 07, 2022
    Dr. Smith is arguably the awesomest doctor ever. His outstanding bedside manners and genuinely care & concern and well as his detailed knowledge makes him simply superb. He also has a gift In listening to my concerns aa well as conveying his thoughts about the issues. Dr. Smith is simply the best best doctor ever!
    Sep 06, 2022
    Excellent doctor. Pays a lot of attention to patient and cares about follow up and treatment.
    Aug 27, 2022
    100% recommend Dr and Nurse!!
    Aug 27, 2022
    Dr. James F. Smith has been my urologist since 2014 and is an extraordinary physician.
    Aug 22, 2022
    Dr answered all of my questions. The follow up has been lacking. Still to hear back regarding getting my procedure on the calendar.
    Jul 31, 2022
    Despite being behind schedule Dr. James F. Smith spent some time making sure I understood the meaning of my semen analysis. I appreciated that. He said to schedule another visit if I had more questions but I am not sure what type of questions would warrant a future visit.
    Jul 28, 2022
    Dr Smith is a caring very professional Dr. I have faith in his service.
    Jul 21, 2022
    Dr. Smith is extraordinarily smart knowledgeable articulate skilled empathic and pleasant. One of the very best doctors I've known.
    Jul 20, 2022
    It was all good.
    Jul 18, 2022
    Urology nurse and doctor were outstanding in the care and attention they provided me while at UCSF
    Jul 18, 2022
    Arrived at scheduled time of 7:00am but door was locked no place to wait or sit. Half an hour passed before I was allowed into waiting room.
    Jul 18, 2022
    Both the nurse and doctor were amazing. Great overall experience.
    Jul 12, 2022
    Dr. Smith is the very best. He is kind and has always directed me in the proper direction. He's excellent in his field and I trust him. Thank you Dr. Smith.
    Jul 12, 2022
    Again while I certainly had issues with the scheduling and attention prior to visits the care I received during the visits themselves was uniformly excellent.
    Jul 11, 2022
    Experience at the clinic was incredible! Dr and nurse were great people!!
    May 28, 2022
    Dr. Smith was absolutely excellent. He listened to me addressed my concerns and to top it all off called me with my results same day because he knew I was very concerned about them.
    May 08, 2022
    Overall excellent.
    Mar 30, 2022
    Leaving behind the larger of the 2 hematomas without being familiar to the larger mass after I completed an MRI and having the remaining hematoma impede and compromise my sexual function which was never a problem Is very concerning.