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NOTIFICATION AND PUBLIC DISCLOSURE IN ACCORDANCE WITH THEREQUIREMENTS OF THE EU MARKET ABUSE REGULATION OF TRANSACTIONS BYPERSONS DISCHARGING MANAGERIAL RESPONSIBILITIES ("PDMR") ANDPERSONS CLOSELY ASSOCIATED WITH THEM.

This announcement is made in accordance with the UK Market AbuseRegulation (Regulation (EU) 596/2014, as it forms part of domesticlaw by virtue of the European Union (Withdrawal) Act2018).

On 27 August 2025, the following awards of US$0.20 ordinary shares(the "Shares") in Smith & Nephew plc (the "Company") weregranted to Ajay Dhankhar under the Smith & Nephew Global SharePlan 2020. The awards have been made in London and are based on theclosing Share price on the London Stock Exchange between 6 and 19August 2025 inclusive, of £13.48.

a. *40,005 shares will vest on 8 March 2027 subject to the achievementof performance conditions measured over the period 1 January 2024to 31 December 2027; and

b. **87,370 shares will vest on 27 August 2028 subject to theachievement of performance conditions measured over the period 1January 2025 to 31 December 2028.

*The number of shares subject to the above awards are shown attarget vesting. Should maximum vesting be achieved, the participantwill receive 2x the number of shares shown above. The participantwill receive an additional number of shares equivalent to theamount of dividend payable per vested share during the relevantperformance period.

** The number of shares subject to the above awards are shown atmaximum vesting. This award will vest proportionally depending uponthe extent to which the associated performance conditions are met.The participant will receive an additional number of sharesequivalent to the amount of dividend payable per vested shareduring the relevant performance period.

Reason for the notification
Initialnotification /Amendment	Initialnotification
Details of the issuer, emission allowance market participant,auction platform, auctioneer or auction monitor
Name	Smith& Nephew plc
LEI	213800ZTMDN8S67S1H61
Details of the transaction(s): section to be repeated for (i) eachtype of instrument; (ii) each type of transaction; (iii) each date;and (iv) each place where transactions have beenconducted
Descriptionof the financial instrument, type of instrument	Smith& Nephew plc ordinary shares of USD 0.20 each
Identificationcode	ISIN:GB0009223206
Natureof the transaction	PerformanceShare awards granted at target under the Smith & NephewGlobal Share Plan 2020.
Date ofTransaction	2025 -08 - 27
Placeof Transaction	Granttook place outside a trading venue

Name (Position)	Status	Price (£)	Volume	Aggregated information
AjayDhankhar (Chief Corporate Strategy & DevelopmentOfficer)	PDMR	Nil	127,375	N/ASingle Transaction

One third of the share awards detailed below will vest on 27 August2026, a further third will vest on 27 August 2027, and the finalthird will vest on 27 August 2028. Each vesting is subject to AjayDhankhar remaining in the employment of the Group on the vestingdates, not being under notice and not having achieved an"unsatisfactory performance" rating for his personal performance inthe year prior to each vesting date.

Reason for the notification
Initialnotification /Amendment	Initialnotification
Details of the issuer, emission allowance market participant,auction platform, auctioneer or auction monitor
Name	Smith& Nephew plc
LEI	213800ZTMDN8S67S1H61
Details of the transaction(s): section to be repeated for (i) eachtype of instrument; (ii) each type of transaction; (iii) each date;and (iv) each place where transactions have beenconducted
Descriptionof the financial instrument, type of instrument	Smith& Nephew plc ordinary shares of USD 0.20 each
Identificationcode	ISIN:GB0009223206
Natureof the transaction	Shareawards granted under the Smith & Nephew Global SharePlan 2020.
Date ofTransaction	2025 -08 - 27
Placeof Transaction	Granttook place outside a trading venue

Name(Position)	Status	Price (£)	Volume	Aggregated information
AjayDhankhar (Chief Corporate Strategy & DevelopmentOfficer)	PDMR	Nil	82,572	N/ASingle Transaction

On 27 August 2025, the following awards of US$0.20 ordinary shares(the "Shares") in Smith & Nephew plc (the "Company") weregranted to Ajay Dhankhar under the Smith & Nephew RestrictedShare Plan 2024. The awards have been made in London and are basedon the closing Share price on the London Stock Exchange between 6and 19 August 2025 inclusive, of £13.48.

One third of the Restricted Share awards detailed below will veston 27 August 2026, a further third will vest on 27 August 2027, andthe final third will vest on 27 August 2028. Each vesting issubject to Ajay Dhankhar remaining in the employment of the Groupon the vesting dates, not being under notice and not havingachieved an "unsatisfactory performance" rating for his personalperformance in the year prior to each vesting date.

Reason for the notification
Initialnotification /Amendment	Initialnotification
Details of the issuer, emission allowance market participant,auction platform, auctioneer or auction monitor
Name	Smith& Nephew plc
LEI	213800ZTMDN8S67S1H61
Details of the transaction(s): section to be repeated for (i) eachtype of instrument; (ii) each type of transaction; (iii) each date;and (iv) each place where transactions have beenconducted
Descriptionof the financial instrument, type of instrument	Smith& Nephew plc ordinary shares of USD 0.20 each
Identificationcode	ISIN:GB0009223206
Natureof the transaction	RestrictedShare awards granted under the Smith & Nephew Restricted SharePlan 2024
Date ofTransaction	2025 -08 - 27
Placeof Transaction	Granttook place outside a trading venue

Name (Position)	Status	Price (£)	Volume	Aggregated information
AjayDhankhar (Chief Corporate Strategy & DevelopmentOfficer)	PDMR	Nil	39,359	N/ASingle Transaction

Pursuantto the requirements of the Securities Exchange Act of 1934, theregistrant has duly caused this report to be signed on its behalfby the undersigned, thereunto duly authorized.


		Smith & Nephew plc
		(Registrant)


Date:August 29, 2025	By:	/s/Helen Barraclough
		HelenBarraclough
		CompanySecretary