James Smith

MD MS

Director, Male Sexual & Reproductive Health
Urologist
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

    Professor in Residence

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

Conditions I specialize in

Where I see patients (4)

    My reviews

    4.6

    Overall Experience
    66 Ratings
    About our process
    Sep 14, 2024
    Dr. Smith was patient, engaging, and knowledgeable. I felt very at ease in his care, and I was very happy with the procedure and his instructions for aftercare. He was sensitive to my comfort and pain levels, and adjusted the plan for care based on my feedback.
    Jun 29, 2024
    Excellent on all
    Jun 14, 2024
    Dr Smith is superb Doctor !
    Jun 10, 2024
    World class surgeon
    Mar 15, 2024
    Dr Smith is wonderful
    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

    Selected research

    See all research

    Contact me

    Share