Director/PDMR Shareholding

Smith & Nephew Plc
14 October 2005

                                        SCHEDULE 11

               NOTIFICATION OF INTERESTS OF DIRECTORS AND CONNECTED PERSONS


1. Name of company

Smith & Nephew plc

2. Name of director

James Ralston

3. Please state whether notification indicates that it is in respect of holding
of the shareholder named in 2 above or in respect of a non-beneficial interest
or in the case of an individual holder if it is a holding of that person's
spouse or children under the age of 18 or in respect of a non-beneficial
interest

James Ralston

4. Name of the registered holder(s) and, if more than one holder, the number of
shares held by each of them (if notified)

The Bank of New York

5. Please state whether notification relates to a person(s) connected with the
director named in 2 above and identify the connected person(s)

N/A

6. Please state the nature of the transaction. For PEP transactions please
indicate whether general/single co PEP and if discretionary/non discretionary

Purchase of ADRs under US Employee Stock Purchase Plan

7. Number of shares / amount of stock acquired

128 ADRs

8. Percentage of issued class

Less than 0.01%

9. Number of shares/amount of stock disposed




10. Percentage of issued class




11. Class of security

American Depositary Receipts

12. Price per share

US$ 36.09

13. Date of transaction

30 September 2005

14. Date company informed

13 October 2005

15. Total holding following this notification

3226 ADRs

16. Total percentage holding of issued class following this notification

Less than 0.01%

If a director has been granted options by the company please complete the
following boxes.

17. Date of grant




18. Period during which or date on which exercisable




19. Total amount paid (if any) for grant of the option




20. Description of shares or debentures involved: class, number




21. Exercise price (if fixed at time of grant) or indication that price is to be
fixed at time of exercise




22. Total number of shares or debentures over which options held following this
notification




23. Any additional information

Participants in the US Employee Stock Purchase Plan buy ADRs at a discount to 
the market price of 15%. One ADR represents five ordinary shares of 12 2/9 pence 
each.

24. Name of contact and telephone number for queries

Phil Higgins  020 7960 2228

25. Name and signature of authorised company official responsible for making
this notification

Phil Higgins (Assistant Company Secretary)

Date of Notification

14 October 2005

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