Internationally recognised hand and wrist surgeon focused on better outcomes for patients by providing cutting edge treatment.

Dr Nicholas Smith is a respected upper limb surgeon passionate about providing patients with state of the art treatments for conditions affecting the hand, wrist and upper limb.

Strongly focused on research, Dr Smith is an innovator within his field and regularly presents at national and international conferences.  He is respected and acknowledged by peers in Australia and abroad.

His ongoing commitment is to achieve better results through the use of minimally invasive surgical approaches and the use of optimal techniques. Dr Smith adopts a collaborative approach with his colleagues and is regularly referred complex cases from other hand surgeons. Likewise, where he feels a patient’s problem falls into another specialist’s area of expertise, he will refer to that specialist.

Dr Smith is dedicated to ongoing teaching and research in hand surgery.  He is an active member of the Australian Hand Surgery Society and the NSW Hand Surgery Society, of which he is currently president. He is a reviewer for both the American and European Journals of Hand Surgery. He is an active member of the Asia Pacific Wrist Association and of the European Wrist Arthroscopy Society.

He has been honoured to act as an instructor at the prestigious European Wrist Arthroscopy Society wrist arthroscopy course in Strasbourg.

He has particular interest in advanced wrist arthroscopic techniques, including arthroscopic bone grafting for scaphoid non-union, arthroscopic management of wrist ligament deficiency, arthroscopic partial wrist fusion and arthroscopic reduction of intra-articular distal radius fractures. However, he enjoys helping patients, young and old, with all kinds of common hand, wrist and nerve problems.


Latest techniques in treating carpal tunnel disease, Dupuytren’s, tendon injuries, trigger finger and thumb, fractures, congenital hand defects


Pioneer of technique for scaphoid non-union, minimally invasive treatments for ganglions and all wrist problems

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Our Locations

Please contact us to book an appointment or for any queries:

  • Phone: 02 9806 3333
  • Fax: 02 9806 3398
  • Email:

Macquarie University Hand Clinic

Suite 403
2 Technology Place
Macquarie University
NSW 2109

Specialty Orthopaedics

Suite G18
Norwest Private Hospital
11 Norbrik Drive
Bella Vista NSW 2153

St Jude Specialist Centre

21 St Jude Street
Bowral, NSW, 2576

Our Memberships