In 1862 Smith was elected a member of the Harveian Society of Edinburgh and served as president in 1888. In 1871 he was appointed Surgeon Dentist to Queen Victoria, and elected a Fellow of the Royal Society of Edinburgh, upon the nomination of John Hutton Balfour. In 1876 he was elected a member of the Aesculapian Club and was Honorary Secretary from 1887 to 1905.
in 1862 smith was elected a member of the harveian society of edinburgh and served as president in 1888 in 1871 he was appointed surgeon dentist to queen victoria and elected a fellow of the royal society of edinburgh upon the nomination of john hutton balfour in 1876 he was elected a member of the aesculapian club and was honorary secretary from 1887 to 1905