W. James Smith, MD

Fellowship Trained Elbow, Hand & Wrist and Shoulder Specialist

W. James Smith, MD

About Dr. Smith

Dr. Smith is a board-certified physician with more than twenty years of clinical experience. He specializes in orthopedic and hand surgery, including state-of-the-art endoscopic nerve decompression techniques and XIAFLEX injections for the nonsurgical treatment of Dupuytren’s contracture.

Dr. James Smith graduated from Boston University with a BA in Biology in 1980. Previous to his time at BU, Dr. Smith spent two years at the United States Air Force Academy where he was a Dean’s List Student. At Boston University he was also a Dean’s List Student, and also earned the honor of Magna Cum Laude with distinction for research, and was a Phi Beta Kappa. He graduated from Boston University School of Medicine in 1984 and completed his General Surgery Internship in 1985 at Albany Medical College and his Orthopedic Residency in 1989 at Albany Medical College.

Dr Smith completed his Fellowship in Hand and Upper Extremity in 1990 at Loma Linda University Medical Center. He was Board Certified in 1992, and Certified for Added Qualifications in Hand Surgery in 1994. Dr. Smith is an attending Orthopedic surgeon at St. Peter’s Hospital in Albany, Albany Memorial Hospital, and St. Mary’s Hospital in Troy. He is a member of The American Society for Surgery of the Hand, The American Academy of Orthopedic Surgery, The New York Medical Society and the New York State Orthopedic Society.

Dr. Smith practices orthopedic surgery including joint replacement and arthroscopy. His subspecialty focuses on surgery of the hand. He performs microsurgery, nerve decompression (endoscopic and traditional), adult reconstructive and pediatric hand surgery. He also administers state-of-the-art Xiaflex enzyme injections for the nonsurgical treatment of Dupuytren’s Contractures. With more than 30 years of experience, Dr. Smith is dedicated to providing the highest level of care to his patients through both surgical and nonsurgical approaches.

Experience & Resources

Education

Medical School
Boston University School of Medicine

Internship
General Surgery at Albany Medical College

Fellowship
Fellowship in Hand and Upper Extremity at Loma Linda University Medical Center

Residency
Orthopedic Residency at Albany Medical College

Board Certifications

  • Orthopedic Surgery with a Certificate of Added Qualification in Surgery of the Hand

Affiliations

  • Executive Woods Ambulatory Surgery Center
  • St. Peter’s Hospital
  • Samaritan Hospital
  • Everett Road Ambulatory Surgery Center
  • OrthoNY Surgical Suites
  • Ellis Hospital

Dr. Smith’s Reviews

5

Dr. Smith is very knowledgeable and was very concerned with how I was feeling during the procedure

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Elise Flynn

March 26th 2026

5
Dr. Smith is very knowledgeable and was very concerned with how I was feeling during the procedure
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Elise Flynn

March 26th 2026

5

Very Good Provider.

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Brian F

March 2nd 2026

5
Very Good Provider.
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Brian F

March 2nd 2026

5

I had my first appointment at OrthoNY and was impressed from start to finish. The entire experience was handled with professionalism, warmth, and efficiency.The reception staff greeted me with genuine smiles, making …

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Patient

January 27th 2026

5
I had my first appointment at OrthoNY and was impressed from start to finish. The entire experience was handled with professionalism, warmth, and efficiency.The reception staff greeted me with genuine smiles, making check-in smooth and stress-free no long waits or confusion.They were friendly, attentive, and well-organized. I entered all my info on a very user-friendly iPad—no paperwork hassle. The PA was fantastic: knowledgeable, thorough, and unhurried. She listened carefully to all my ailments & concerns and made me feel truly heard and respected.X-ray techs were quick, gentle, and highly professional, explained everything, positioned me carefully, and finished fast.It all culminated with Dr. Smith, who is exceptional—brilliant, compassionate, and skilled. He reviewed my history, examined me thoughtfully, explained my condition clearly, and outlined a solid plan. His confidence put me at ease, and I left feeling optimistic and well-cared-for.The whole team showed true excellence.
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Patient

January 27th 2026

5

5/5 Stars – Exceptional First Visit – Highly Recommend! I recently had my first appointment at OrthoNY and I was thoroughly impressed with the entire experience. From the moment I walked in …

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Brian List

January 26th 2026

5
5/5 Stars – Exceptional First Visit – Highly Recommend! I recently had my first appointment at OrthoNY and I was thoroughly impressed with the entire experience. From the moment I walked in, everything was handled with professionalism, warmth, and efficiency. The reception staff greeted me with genuine smiles and made the check-in process smooth and stress-free—no long waits, no confusion. They were friendly, attentive, and clearly well-organized. No “paperwork” as I entered all my information into a very user friendly iPad. The physician assistant was fantastic—knowledgeable, thorough, and took the time to listen to all of my ailments and concerns without rushing. She made me feel heard and respected. The X-ray techs were equally impressive: quick, gentle, and super professional. They explained what they were doing, positioned me carefully, and the whole process was over before I knew it. And the professionalism and outstanding care culminated with Dr. Smith. He is truly exceptional—brilliant, compassionate, and incredibly skilled. He took ample time to review my history, examine me thoughtfully, explain my condition in plain language, and outline a clear plan moving forward. His confidence and competence put me completely at ease, and I left feeling optimistic and well-cared-for. Awesome experience. The entire team radiated a culture of excellence: everyone was friendly yet highly professional, competent, and focused on patient comfort. In a time when healthcare can feel impersonal, this visit was the complete opposite—caring, efficient, and top-notch in every way. If you’re looking for an orthopedic specialist who delivers outstanding care from start to finish, I wholeheartedly recommend Dr. Smith and OrthoNY. My first visit exceeded every expectation, and I’m so grateful I chose them, even taking into consideration it requires a bit more travel time (definitely worth the drive). Thank you to the whole team—you’re all amazing!
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Brian List

January 26th 2026

5

Our experience was great, very efficient, polite and family friendly

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Dawn Anderson

January 17th 2026

5
Our experience was great, very efficient, polite and family friendly
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Dawn Anderson

January 17th 2026

5

Dr. Smith is a great doctor and has always addressed my issues with great accuracy. OrthoNY is a very professional establishment with great people!!

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K A

October 9th 2025

5
Dr. Smith is a great doctor and has always addressed my issues with great accuracy. OrthoNY is a very professional establishment with great people!!
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K A

October 9th 2025

5

Dr. Smith and the support staff at OrthoNY Albany were compassionate and informative. Considering I was there for a medical problem, it was overall a pleasant experience.

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Christine Tisci

September 26th 2025

5
Dr. Smith and the support staff at OrthoNY Albany were compassionate and informative. Considering I was there for a medical problem, it was overall a pleasant experience.
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Christine Tisci

September 26th 2025

5

I got done very quickly. Everybody was friendly. It was a very good experience. Now my hand just has to heal

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David Addario

September 16th 2025

5
I got done very quickly. Everybody was friendly. It was a very good experience. Now my hand just has to heal
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David Addario

September 16th 2025

5

Dr James Smith is a wonderful doctor his coworkers are wonderful too

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Renee Taylor

September 9th 2025

5
Dr James Smith is a wonderful doctor his coworkers are wonderful too
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Renee Taylor

September 9th 2025

5

From arrival to departure was only 45 minutes & that was good. Everyone was very helpful & friendly & Doc sure knows what he is doing. My shoulder is feeling much better.

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Dolores Carretta

September 6th 2025

5
From arrival to departure was only 45 minutes & that was good. Everyone was very helpful & friendly & Doc sure knows what he is doing. My shoulder is feeling much better.
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Dolores Carretta

September 6th 2025

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