Surname Puussaar (Puussaar 
) , across the world, is a very rare last name. The family name Puussaar is characteristic of Estonia, where it is quite a rare surname, Germany, where it is an extremely rare surname, and the United States.
| VARIANT | COUNTRY |
|---|---|
| Puussaar | United States, Germany, Estonia |
| ilme-luule puussaar Estonian medical researcher (1927-2003), EE (b. 1927) |
|