Mr Paul Smith trained as a Hand Surgeon in Glasgow, London, Louisville and Duke University, North Carolina. He commenced training as an Orthopaedic Surgeon, initially exposed to hand surgery when working in Glasgow, switching to Plastic Surgery when the advent of microsurgery was clearly going to revolutionize hand surgery. He spent two years in the United States as a Microsurgical Fellow and Hand Fellow in Louisville, Kentucky, later spending one year at Duke University, North Carolina for further microsurgical training.
Upon returning to the United Kingdom in 1980, Mr Smith worked in Mount Vernon Centre for Plastic Surgery, expanding the Hand Surgery Service specializing in Rheumatoid, Dupuytren's, Osteoathritis, Tendon and Nerve injury. Since 1988 he has also worked as the founder of the Congenital Hand Surgery Centre in The Hospital for Sick Children, Great Ormond Street developing one of the largest services in the world. He remains an Honorary Consultant at Great Ormond Street, but has now developed a Congenital Hand Surgery Service at the Children's Hand Surgery Unit in the Portland Hospital.
Mr Smith has published in excess of 60 papers in peer reviewed journals, 17 chapters in textbooks and has authored two textbooks of Hand Surgery - Principles of Hand Surgery and Lister's The Hand - Diagnosis and Indications. He has been visiting Professor to New York University (NYNY), Stanford University (California), University of Louisville (Kentucky) and has been the invited guest speaker of the Canadian, Australian and South African Hand Societies. Mr Smith continues to regularly present papers at international meetings and was awarded the Pulveraft Prize by the British Society for Surgery of the Hand and the 1st prize in the Residents competition by the American Association for Hand Surgery. He has published extensively on Dupuytren's Contracture - highlighting the importance of Central Slip Attenuation. His experience in Congenital Hand Surgery is such that in the years leading up to 2007 he had treated - 176 radial club hands, in excess of 250 thumb polydactylys, 121 Apert's hands, 6 mirror hands and performed in excess of 140 pollicizations for thumb hypoplasia. This represents a 20 year experience at Great Ormond Street and the Portland Hospital; he continues to be active in this field and long intends to do so.