PERFORMANCE SHARE PLAN

Performance Unit Award Agreement

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Title: PERFORMANCE SHARE PLAN
Date: 2/14/2005
Industry: Medical Equipment and Supplies Sector: Healthcare

Exhibit 4.6

AGM COPY

SMITH & NEPHEW plc

THE SMITH & NEPHEW 2004 PERFORMANCE SHARE PLAN

This is a copy of the rules of the Smith & Nephew 2004

Performance Share Plan as produced to the Annual

General Meeting of Smith & Nephew plc held on 6 May

2004 and signed by the Chairman for the purposes of

identification only

___________________

Chairman

Inland Revenue Ref No U[ ]

Approved by shareholders: 6 May 2004

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