[1] Smyth was in charge of the CEZMS mission in Rainawari, a locality in Srinagar City in Jammu and Kashmir state, India.
She led the opening of the Elizabeth Newman Hospital in January 1937, and started a training school for nurses in Kashmir.
Smyth was interested in uplifting the women of Kashmir, and involving them in the medical field there and she started a training school for nurses in the state.
[1] After her fifteen years of work, Smyth went on a six month trip around India, visiting friends and exploring new regions.
She continued to fundraise for medical developments and recruit female physicians to assist in Rainawari, while remaining a devout Christian.