Cost guide
How much does SMILE laser eye surgery cost privately in the UK? (2026)
Private SMILE reshapes the cornea by removing a thin disc of tissue through a tiny keyhole incision, with no flap, and is used to correct short-sightedness and some astigmatism. The sections that follow explain what shapes the bill, what to look for in a quote and where the NHS alternative fits.
Last checked: 2026-10-03
Key facts
At a glance.
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Typical setting
Short outpatient procedure under anaesthetic drops, treating both eyes in one visit in many clinics.
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Price transparency
We did not find a verifiable single published price for SMILE, so none is quoted. Clinics price it per eye, often above standard LASIK.
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Biggest price driver
Specialist equipment: SMILE requires a specific femtosecond laser platform, which not every clinic has.
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Commonly charged extra
Assessment; Extra aftercare.
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NHS comparison
The NHS does not offer SMILE for refractive error.
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Time off and recovery
Vision is often good within a day or two, with drops and check-ups, and avoidance of swimming and eye make-up for a period.
What private SMILE laser eye surgery costs in the UK
Private SMILE reshapes the cornea by removing a thin disc of tissue through a tiny keyhole incision, with no flap, and is used to correct short-sightedness and some astigmatism.
A verified, published price for SMILE laser eye surgery was not available to us, so we have left numbers out instead of estimating. The factors and questions below will help you read any quote you are given.
What to expect with SMILE laser eye surgery
A femtosecond laser creates a small lens-shaped disc of tissue within the cornea, which the surgeon removes through a tiny incision, leaving no flap. The procedure is often quicker than LASIK in laser time.
Ask how the clinic manages enhancement and whether SMILE is suitable for your prescription, since these factors affect both the outcome and any added cost.
What drives the price of SMILE laser eye surgery
Several things move the cost of SMILE laser eye surgery up or down. These are the ones worth asking about first.
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Specialist equipment: SMILE requires a specific femtosecond laser platform, which not every clinic has.
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Per eye pricing and package structure.
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Prescription range: SMILE suits a range of short-sight prescriptions, but not all, so the clinic assesses suitability.
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Aftercare period and enhancement policy.
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Clinic policy: some clinics price SMILE in line with advanced LASIK, others above it, so a written quote for your eyes is the only reliable figure.
What a SMILE laser eye surgery quote usually includes and excludes
Quotes rarely list everything, so it helps to know what to look for. The table sets out typical inclusions and extras for this procedure.
| Item | Usually | What to check |
|---|---|---|
| SMILE treatment per eye | Included | Confirm per-eye pricing |
| Aftercare | Included | Check duration |
| Drops | Included | May be included |
| Assessment | Often extra | Check if free |
| Extra aftercare | Often extra | Beyond the included period |
| Enhancement | Often extra | Often different from LASIK |
Self-pay, insurance and finance for SMILE laser eye surgery
Insurers do not cover SMILE because it is elective.
If you are using insurance, get pre-authorisation in writing before treatment and ask which fees your policy limits could leave uncovered. If you are paying yourself, some hospital groups offer medical finance subject to status; check the rate, term and total repayable before agreeing.
SMILE laser eye surgery: how the NHS route compares
The NHS does not offer SMILE for refractive error.
In England the NHS aims to start non-urgent consultant-led treatment within 18 weeks of referral, and patients can ask to be offered alternative providers if that is likely to be exceeded. Actual waits vary by trust and specialty.
Recovery, time off and aftercare costs
Vision is often good within a day or two, with drops and check-ups, and avoidance of swimming and eye make-up for a period.
Risks and complications that can change the bill
Few people need more than the planned care, but the cost position if they do is worth settling before treatment.
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Enhancement after SMILE can be more complex than after LASIK, so ask what the plan is if you need a touch-up.
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Dry eye, glare and under-correction can occur, and not all prescriptions are suitable.
How to compare SMILE laser eye surgery quotes
When you have two or three estimates, these questions help you see which is genuinely the better value.
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What is the price per eye and for both eyes?
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What is the enhancement policy?
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Is my prescription within the range for SMILE?
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What aftercare is included?
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Are professional fees and hospital charges shown as separate lines, and is the total a firm figure or an estimate?
Frequently asked
Questions people ask.
Quick, plain-English answers to the questions we hear most.
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Is SMILE better than LASIK?
Each has pros and cons, and the best option depends on your eyes.
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Is SMILE more expensive?
Often, as it needs specific equipment, but prices vary, so compare quotes.
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Is there a flap?
No.
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How quick is recovery?
Often fast, though individual.
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Who is suitable?
Mainly people who are short-sighted, as assessed.
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Is the quoted price for SMILE laser eye surgery fixed?
Providers vary: some commit to a price once you have been assessed, others treat the first figure as indicative. For SMILE laser eye surgery, ask whether the amount can change and, if so, why.
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Does private medical insurance usually pay for SMILE laser eye surgery?
Possibly. It turns on the policy wording, the clinical reason and whether you have an authorisation in place. Confirm the procedure code and whether outpatient and inpatient elements are both covered.
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Can I spread the cost of SMILE laser eye surgery?
Some hospital groups offer medical finance for self-pay patients, subject to status and affordability checks. Compare the total repayable, not just the monthly figure, and ask whether there are early-repayment charges.
Where this comes from
Sources and checking.
This guide is for information, not medical advice.
Your GP or consultant knows your history and can tell you which parts apply to you. If your symptoms are severe, rapidly worsening, or come with red-flag features, seek urgent medical care. Figures and availability change, so treat them as a guide and confirm with the provider.
Published 2026-10-03, next review 2027-10-03.
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Private Healthcare Information Network (PHIN), phin.org.uk: independent publisher of private healthcare cost, quality and consultant-fee information, retrieved Oct 2026
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NHS website: guide to NHS waiting times in England (nhs.uk), covering the 18-week standard and the right to choose a provider, retrieved Oct 2026
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Nuffield Health self-pay information page (nuffieldhealth.com/hospitals/self-pay): what an all-inclusive quote covers, retrieved Oct 2026