LONDON -- (Marketwire) -- 08/05/09 --

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
    SMITH & NEPHEW PLC
                                           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)

3.  Name of person discharging         4.  State whether notification
    managerial                             relates to a person
    responsibilities/director              connected with a person
                                           discharging
                                           managerial responsibilities/
                                           director named in 3 and
                                           identify the connected
    MICHAEL FRAZZETTE                      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
                                           relating to shares
    interest 1

    MICHAEL FRAZZETTE                      AMERICAN DEPOSITARY SHARES
                                           ("ADS")

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
                                           SETTLEMENT OF SHARES HELD
    MICHAEL FRAZZETTE                      UNDER THE SMITH & NEPHEW
                                           PERFORMANCE SHARE PLAN WHICH
                                           VESTED ON 13 MAR 2009

9.  Number of shares, debentures or    10.