Smith & Nephew Plc - Director/PDMR Shareholding1.


LONDON, UK--(Marketwire - November 18, 2008) -


Annex DTR3


Notification of Transactions of Directors/Persons Discharging
Managerial Responsibility and Connected Persons



All relevant boxes should be completed in block capital letters.


1.  Name of the issuer                 2.  State whether the
                                           notification relates to    
    SMITH & NEPHEW PLC                     (i) a transaction notified in
                                           accordance with DTR 3.1.2
                                           R, 

                                           (ii) a disclosure made in
                                           accordance LR 9.8.6R(1) or

                                           (iii) a disclosure made in
                                           accordance with section
                                           793 of the Companies Act
                                           (2006).


                                           (i) & (iii)


3.  Name of person discharging         4.  State whether notification
    managerial                             relates to a person
    responsibilities/director              connected with a person
                                           discharging
                                           managerial responsibilities/
    DAVID ILLINGWORTH                      director named in 3 and
                                           identify the connected
                                           person


                                           N/A


5.  Indicate whether the notification  6.  Description of shares
    is in respect of a holding of the      (including class),
    person referred to in 3 or 4 above     debentures or derivatives or
    or in respect of a nonbeneficial       financial instruments
    interest 1                             relating to shares


    IN RESPECT OF A SHAREHOLDING           AMERICAN DEPOSITARY SHARES
    REGISTERED IN THE NAME OF THE          ("ADS")
    ABOVE PERSON REFERRED TO IN 3


7.  Name of registered shareholders(s) 8.  State the nature of the
    and, if more than one, the number      transaction
    of shares held by each of them

                                           (i)  PURCHASE OF ADS
    DAVID ILLINGWORTH

9.  Number of shares, debentures or    10. Percentage of issued class
    financial instruments relating         acquired (treasury shares
    to shares acquired                     of that class should not be
                                           taken into account
                                           when calculating percentage)


    (i)  35 ADS                            less than 0.01%



11. Number of shares, debentures or    12. Percentage of issued class
    financial instruments relating         disposed (treasury shares
    to shares disposed                     of that class should not be
                                           taken into account
                                           when calculating percentage)


                                           N/A
    N/A


13. Price per share or value of        14. Date and place of
    transaction                            transaction

    (i) 18 ADS at USD56.70 per share       (i)   9 MAY 2008

    (ii) 17 ADS at USD40.01 per share      (ii)  7 NOVEMBER 2008


15. Total holding following            16. Date issuer informed of
    notification and total percentage      transaction
    holding following notification
    (any treasury shares should not be
    taken into account when
    calculating percentage)


    23,282 ADS                             18 NOVEMBER 2008

    (Representing 116,410 ordinary
    shares)




If a person discharging managerial responsibilities has been granted
options by the issuer

complete the following boxes


17. Date of grant              18. Period during which or date on which
                                   exercisable


    N/A                            N/A


19. Total amount paid (if any) 20. Description of shares or debentures
    for grant of the option        involved (class and number)


    N/A                            N/A


21. Exercise price (if fixed   22. Total number of shares or debentures
    at time of grant) or           over which options held following
                                   notification
    indication that price is
    to be fixed at the time
    of exercise
                                   N/A

    N/A


23. Any additional information  24. Name of contact and telephone
                                    number for queries

    Re-investment of Dividends
                                    GEMMA PARSONS

    1 ADS = 5 ORDINARY SHARES       ASSISTANT COMPANY SECRETARY
    of USD0.20 EACH
                                    020 7960 2228




Name of authorised official of issuer responsible for making
notification

GEMMA PARSONS

ASSISTANT COMPANY SECRETARY

Date of notification    18 November 2008





Notes:    This form is intended for use by an issuer to make a RIS
notification required by DR 3.3.


(1) An issuer making a notification in respect of a transaction
    relating to the shares or debentures of the issuer should
    complete boxes 1 to 16, 23 and 24.

(2) An issuer making a notification in respect of a derivative relating
    the shares of the issuer should complete boxes 1 to 4, 6, 8, 13,
    14, 16, 23 and 24.

(3) An issuer making a notification in respect of options granted to a
    director/person discharging managerial responsibilities should
    complete boxes 1 to 3 and 17 to 24.

(4) An issuer making a notification in respect of a financial
    instrument relating to the shares of the issuer (other than a
    debenture) should complete boxes 1 to 4, 6, 8, 9, 11, 13, 14, 16,
    23 and 24.



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