LONDON -- (Marketwire) -- 08/18/09 --

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/
    MARK AUGUSTI                           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
    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

    MARK AUGUSTI
                                          ACQUISITION OF ADS UNDER US
                                          EMPLOYEE STOCK PLAN PURCHASE

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

    i) 193 ADS                             LESS THAN 0.01%
    ii) 194 ADS

11. Number of shares, debentures or    12.