F. Ames Smith Jr. MD, FACS

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Accepting New Patients

Preparing for Your Appointment with Dr. Smith
Dr. Smith requests that you write down questions and consider bringing a recorder to your appointment to optimize your appointment time. Patients with a strong family history of cancer should complete the Risk Assessment for Hereditary Cancer and get as much information about family cancer history (especially types of cancer and age of onset) prior to the appointment.

Board Certification

American Board of Surgery, Fellow American College of Surgery


Doctor of Medicine, University of Texas Medical Branch, Galveston, Texas; Residency Baylor College of Medicine Department of Surgery, Houston, Texas; trained under world-renowned surgeon, Dr. Michael E. DeBakey.

Clinical Interests

Since entering practice in 1990, Dr. Smith has had a special interest in breast cancer, breast cancer risk management, and preventive surgery. He has made that the exclusive focus of his surgical practice since 2009.

Procedures performed include nipple sparing (and other types of) mastectomy, lumpectomy, sentinel lymph node biopsy and oncoplastic surgery of the breast, the purpose of which is to improve cosmetic and oncologic outcomes with complex breast lumpectomies, axillary lymph node dissection, and portacath insertion. He works collaboratively with our plastic surgeons as indicated to optimize results.

Dr. Smith leads The Polyclinic Hereditary Cancer Risk Clinic, a multidisciplinary clinic which helps to identify both women and men who may have increased risk for various cancers based on a genetic predisposition.

Teaching and Community Involvement

Dr. Smith has served as physician liaison, Commission on Cancer (American College of Surgeons) and served as the Chairman of the Department of Surgery at St. David’s Hospital from 2007-2009. He served a number of years on the committees for consensus and education of the American Society of Breast Disease, and currently is an active member of the American Society of Breast Surgeons.


Conversational German and Spanish

Personal Information

Dr. Smith is married to a physical medicine and rehabilitation specialist. They have two children. Having run cross country and track at Duke University, he continues to enjoy running and fitness, as well as spending time with his family.

For more recent information, "Like" Dr. Ames Smith on Facebook here.


  • Member Alpha Omega Alpha
  • Multiple years:
    Texas Monthly ‘Super Doctor’ Guide to American’s Top Surgeons and Guide to Top Doctors
  • Distinguished Surgeon Nominee, Austin Area Association of Perioperative Registered Nurses.
  • Seattle Magazine Top Doc

Seattle Met Top Docs
Seattle Mag Top Docs


  • Congrats To Our 2019 Seattle Met Top Docs
  • KOMO News - A Tiny Seed Can Make a Big Difference for Breast Cancer Patients [Audio]
  • Hereditary Breast Cancer Risks

    Dr. Smith discusses hereditary breast cancer risks and Angelina Jolie's double mastectomy treatment option on Q13 Fox News.

    Breast Cancer Care at The Polyclinic

    Linnea was at high risk for breast cancer and chose preventive treatment at The Polyclinic. Learn more about her story in this King 5 Evening Magazine segment and hear from Dr. Smith about genetic testing for a mutation for early detection.