Gaines, Natalie

Natalie Gaines, MD - Urology San Antonio
Natalie P. Gaines, MD

Speaks: English


Baylor University, Waco, Texas 2005
Medical School
Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas, 2010
Surgical Residency
Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas, 2011
Urology Residency
Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas, 2015
Female Pelvic Medicine and Reconstructive Surgery, Beaumont Health System, Royal Oak, Michigan, 2017
Board Certification
Board Eligible
Urology San Antonio Provider
Since 2017

About Dr. Natalie Gaines

A Texas native and lover of Mexican food, Doctor Natalie Gaines is a fellowship trained urologist with Urology San Antonio. Her specialty is Female Pelvic Medicine and Reconstructive Surgery.

“A lot of the conditions that I treat are quality of life conditions,” says Dr. Gaines. “They are not life-threatening, but they do affect how well you are living. You may not realize how much of an impact these problems have on your life until we start working on them. We may not fix them overnight, but we will get them to a place where you are happy and not focused on your bladder or pelvis.”

These conditions include pelvic pain, sexual dysfunction, overactive bladder, and urinary incontinence.

Dr. Gaines is a Graduate of the Texas Tech University Health Sciences Center School of Medicine in Lubbock, TX. She completed her fellowship in Female Pelvic Medicine and Reconstructive Surgery with the Beaumont Health System in Royal Oak, MI.

Dr. Natalie Gaines FamilyHer family and faith instilled values that prioritized helping others in ways they cannot help themselves.

“Being a physician is a lot like being a detective – by working through a patient’s history and supplementing with examination and any necessary testing, you can get to the bottom of what is affecting him or her.”

Improving the lives of patients is her primary reason for becoming a urologist, but she also credits the specialty as having “the best jokes.”

When she’s not helping patients, you’ll find her spending time with her her husband, young daughter, and large extended family. She has two large breed dogs and enjoys reading, swimming, boating, playing the bassoon, and watching live music of all types.

Specialties: Interstitial Cystitis, Pelvic Pain, Overactive Bladder, Urinary Incontinence,  Women’s Pelvic Health, Neurourology, Neuromodulation, Interstim Therapy, Percutaneous Tibial Nerve Stimulation (PTNS), Pelvic Prolapse, Urinary Fistula, Urethral Diverticulum, Robotic Surgery, Urodynamics.


Medical Center

7909 Fredericksburg Rd.
Suite 210
San Antonio, TX 78229

What her patients say


“This was my first appointment with Dr. Natalie Gaines.  She is warm, put me at ease, was extremely knowledgeable, and took her time with me… that was a definite plus with me.  I would highly recommend her.”


“Dr.  Gaines is the first doctor in a long time that shows bedside manner and cares about my health.  And didn’t rush me out of her office.”


“Very happy with Dr. Gaines – She was just what I needed. Young and full of information.”