Background: Rho GTPase activating protein 9 (ARHGAP9) is expressed in many cancers and can inactivate Rho GTPases that are key regulators of cytoskeletal dynamics. However, the exact role of ARHGAP9 in acute myeloid leukemia (AML) is still unclear. Methods: We compared the transcriptional expression, prognosis, differentially expressed genes, function enrichment, and hub genes in AML patients based on published data in UALCAN, GEPIA, Gene Expression Omnibus (GEO), the Human Protein Atlas (HPA), Cancer Cell Line Encyclopedia (CCLE), LinkedOmics, Metascape, and String databases. Data from the Cancer Genome Atlas (TCGA) database was used to evaluate the correlations between ARHGAP9 expression and various clinicopathological parameters as well as the significantly different genes associated with ARHGAP9 expression.Results: We found that ARHGAP9 expression was higher in AML patient tissues and cell lines than the corresponding control tissues and other cancer types. Furthermore, ARHGAP9 over-expression was associated with shorter overall survival (OS) in AML patients. Compared with the ARHGAP9low group, ARHGAP9high patients received only chemotherapy showed the significantly worse OS and event-free survival (EFS), but no significant difference after treatment with autologous or allogeneic hematopoietic stem cell transplantation (auto/allo-HSCT). In addition, ARHGAP9high patients undergoing auto/allo-HSCT had significantly better prognosis in OS and EFS than those receiving only chemotherapy. Because most of the overlapping gene between the significantly different genes and co-expression genes were enriched in the immune functions, suggesting an immune regulation potential of ARHGAP9 in AML. Thirty-two hub genes were identified from the differently expressed genes, within which the KIF20A had significant prognostic value for AML.Conclusions: Our results demonstrated that ARHGAP9 overexpression was associated with poor OS in AML patients and can be used as a prognosis biomarker. AML patients with ARHGAP9 over-expression could benefit from auto/allo-HSCT rather than chemotherapy.