Peter Ruff, MD


Dr. Ruff is a board certified urologist and graduate of The University Of Texas Medical School in San Antonio.

He completed his residency at the Medical College of Georgia and did a subspecialty fellowship in Minimally Invasive Laparoscopic and Robotic surgery in San Antonio.

Dr. Ruff has an interest in minimally invasive surgery for the treatment of prostate, kidney and bladder cancers and as well as urologic malformations.

Dr. Ruff is a member of the American Urological Association, the Society of Laparoscopic Surgeons, the Texas Urological Society, the Texas Medical Association, and the Travis County Medical Society.  He is currently chair of the Robotic Steering Committee for South Austin Medical Center.

Dr. Ruff currently lives in Austin with his wife and two daughters, and enjoys all outdoor activities including hunting and fishing.


  • "I have found Dr. Ruff competent, professional, sympathetic, informed, and interested. Every step of the way, he minimized the pain, kept me informed. Surprisingly, he did not adopt the distant and impersonal attitude one expects of a doctor. Very responsive to questions and reactions, he made it very easy to relax and cooperate. He is by far the finest urologist I have ever met. I wholeheartedly recommend him." -David K., Austin
  • "An excellent urologist including his nurse. He removed a prostate with cancer and with in weeks I was back to normal with no ill effects"
  • "Dr. Ruff preformed a de Vinci aided laparoscopic radical prostatectomy on me on 16-Oct-2013. Ruff was informative before and after surgery. Always tried to clarify findings in ways that were meaningful to the patient. He answered questions presented at meetings as well as responding to phone calls. Ruff told us what to expect during surgery, during immediate and longer term recovery. When questioned, based on our internet research, his responses are knowledgeable. His staff always responds to phone calls. They are pleasant and on time. A professional organization." -Richard C
  • Ray C. Georgetown, TX July 6, 2013
    "Having an elevated PSA my Atlanta primary care provider and I decided that a biopsy should be done. The results of the biopsy revealed that I, indeed, did have prostate cancer (12 of 12 samples had varying amounts of cancer). Because I was in the process of moving to the Austin area I decided to wait and seek out an Urologist there. After an in-depth search I found Dr. Ruff. I also found a new primary care provider and advised him of my condition and asked him to give me a referral to Dr. Ruff. Upon doing so I met with Dr. Ruff. I advised him of my condition and gave him a copy of my Atlanta biopsy report. After his review of the biopsy and my overall health / age, Dr. Ruff explained, in-depth and in words I could understand, all the available options and the pros and cons of each. We both agreed that a prostatectomy using the precise and minimally invasive da Vinci robot was the best course of action. The surgery was scheduled for two weeks later and could not have gone any better. The surgery was conducted on a Wednesday morning and late that afternoon the nurse actually had me standing in my hospital room! The next day was even more amazing - I was walking the halls of the hospital floor and on Friday afternoon (two days later) I was on my way home - Unbelievable! Upon my discharge from the hospital Dr. Ruff gave me do's and don'ts that one would expect and a follow-up appointment. Well, I went to my follow up appointment as instructed and met again with Dr. Ruff. After an exam he reviewed the pathology report with me and it was excellent. The cancer was confined to the prostate and the two lymph nodes that were additionally removed proved to be not cancerous.
    I cannot say enough good things about Dr. Ruff and his staff. Dr. Ruff is truly a gifted surgeon who possesses superior skills, knowledge and abilities that are second to none. He saved my life and I am now a "Cancer Survivor".
    Thanks!" -Diane
  • Edmond A. Horseshoe Bay January 29, 2013
    "I went to Dr Ruff after having been diagnosed with kidney cancer in late 2011. Dr Ruff performed laparoscopic surgery on me and removed one of my kidneys in Feb 2012. Since then, I see Dr Ruff every 3 months for follow-up checks and monitoring. I came through the surgery very well and have not had any complications or issues since. I really appreciate Dr Ruff........he is a skilled surgeon and a very caring physician. I feel confident under his care. He has a great ability to communicate and is very patient. I would highly recommend Dr Ruff to anyone needing the care of a Urologist."



  • Prostate Biopsy With Elevated PSA

  • Dr. Ruff utilizes the Propep nerve monitoring system

  • St. David's offers free cancer screenings - Austin