Smith & Nephew Plc - Director/PDMR Shareholding2


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 (i)
                                           a transaction notified in
    SMITH & NEPHEW PLC                     accordance with DTR 3.1.2
                                           R, 
                                           (ii) a disclosure made in
                                           accordance LR 9.8.6R(1) or
                                           (iii) a disclosure made
                                           inaccordance with section 793
                                           of the Companies Act (2006).

                                           (i)


3.  Name of person discharging         4.  State whether notification
    managerial                             relates to a person
    responsibilities/director              connected with a person
                                           discharging managerial
                                           responsibilities/director
    MARK AUGUSTI                           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    

    MARK AUGUSTI                           AMERICAN DEPOSITARY SHARES


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

    BANK OF NEW YORK                       PURCHASE OF ADS
                                           UNDER US EMPLOYEE STOCK
                                           PURCHASE PLAN


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

    (i)  115                             N/A
    (ii)   5


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


    N/A                                    LESS THAN 0.01%


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


    (i)   USD45.13 PER ADS                 (i)   30 SEPTEMBER 2008
    (ii)  USD40.01 PER ADS                 (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)

    2,199 ADS                              18 NOVEMBER 2008



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
    indication that price is       notification
    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

    1 ADS = 5 ORDINARY SHARES       GEMMA PARSONS
    OF USD0.20 EACH                 ASSISTANT COMPANY SECRETARY
                                    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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