He was consecrated on April 20 of the same year at St. Paul's in Des Moines by Bishops Henry Knox Sherrill, William Blair Roberts and Lewis B. Whittemore.
In 1951, the Iowa Canterbury Association was organized and increased the emphasis of providing pastoral ministry to college students across the state.
Celebrations in Cedar Rapids were carried nationwide by CBS Radio and from Trinity Cathedral in Davenport by WOC-TV.
In the 1960s, Smith was one of several bishops to serve as a trustee of Shimer College, then located near the Iowa border in far northwestern Illinois.
[7] After his retirement from the office of bishop, Smith moved to Seattle, Washington where he became the interim dean of St. Mark's Cathedral.