In 1901, he moved west to Alberta and practiced medicine in Star for a year and a half before relocating again to Edmonton. There he specialized in surgery. In 1910 he was elected president of the Alberta Medical Association, and in 1912 was appointed to the board of directors of Alberta College.
In 1901, he married Martha Doyle, with whom he had a daughter. Martha died in January 1901, and Smith married Mabel Rife, with whom he had a son and a daughter.
Politics
Smith ran for the Edmonton public school board in the 1910 municipal election, but was defeated, finishing fourth of six candidates in an election in which the top three were elected. In 1912 he ran for and was elected as alderman on the Edmonton City Council, finishing first of seventeen candidates. He did not seek re-election at the conclusion of his two-year term.
Later life and death
In 1921, after several years as city coroner, Smith was appointed medical superintendent for the Royal Alexandra Hospital, where he was credited with vastly improving the hospital's financial position and with advocating for the creation of a children's hospital. He remained active with the Masons and the Independent Order of Odd Fellows, and was a Methodist.
He was taken with erysipelas October 21, 1928, and died three days later.
