Dr. Smith has been active in numerous medical association activities over the years, serving on multiple committees including those of the King County Medical Society and the Washington State Medical Society, and was an alternate delegate to the American Medical Association. He has also been heavily involved in his specialty society activities and became the founding President of the Washington Society of Plastic Surgery and served in that position for five years. Dr. Smith also served as the representative from the Washington Chapter of the American College of Surgeons to the Washington State Medical Society for many years where he also represented the state's plastic surgeons. In similar fashion he has served as the representative from the regional Northwest Society of Plastic Surgeons to the national American Society of Plastic Surgeons, serving on committees for that organization in part as a contributor to the society's national In-service Training Examination module for plastic surgery residents and practitioners in practice.