Sir Thomas Smith, 1st Baronet, KCVO, FRCS (23 March 1833 – 1 October 1909) was a British surgeon.

In 1851 he became an apprentice to Sir James Paget and in August 1854 he became House Surgeon at Great Ormond Street Hospital.

Smith served on the Council of the Royal College of Surgeons from 1880 to 1900, having been elected in 1858, and was vice-president in 1887-1888 and 1890–1891.

He was invested as a Knight Commander of the Royal Victorian Order in 1901, having been created a baronet, of Stratford Place in London, in 1897.

[3] He married on 27 August 1862 Ann Eliza, the second daughter of Frederick Parbury, an Australian by birth.