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.

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.

Thomas Smith died at his home on Oxford Street in London on 1 October 1909.