Mr Smith has wide experience of minimally invasive (laparoscopic and robotic) surgery (MIS) in both cancer and non-cancer work. As part of his Fellowship, he spent four months performing minimally invasive surgery rotations in the University of Toronto MIS Fellowship programme. This was to develop additive skills in minimally invasive surgery.

In his cancer work, Mr Smith performs staging and diagnostic laparoscopies, resections of GI rare tumours, such as GISTs, leiomyosarcomas, fibromatosis, and solitary fibrous tumours and occasionally lipomatous tumours and leiomyomas.

He also performs general surgical laparoscopic procedures in cancer patients such as laparoscopic hernia repairs and cholecystectomies as part of his practice.

Mr Smith also performs laparoscopic resections of metastatic disease, such as small bowel metastasis.

Specific laparoscopic procedures Mr Smith performs include ventral hernia repair, incisional hernia repair, inguinal hernia repair, umbilical hernia repair, cholecystectomy and small bowel resection with intracorporeal anastomosis.