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Dr. Zack Smith Named Top Pain Management Physician in San Antonio for 2026

Dr. Zack Smith, recognized as one of San Antonio’s Top Doctors in 2026 for Pain Management, standing with award badge.
San Antonio Magazine January-February 2026 cover featuring Top Doctors, including Dr. Zack Smith as one of the 486 best physicians in San Antonio.

Dr. William Zachary “Zack” Smith has once again been recognized as a Top Pain Management Physician in San Antonio, earning this distinction for the second consecutive year in the 2026 Top Doctors list published by San Antonio Magazine.

This peer-selected honor highlights Dr. Smith’s growing reputation as a trusted pain management specialist in San Antonio, TX, known for providing patient-centered, evidence-based care.

How San Antonio Magazine Selects Top Doctors

To create its annual Top Doctors list, San Antonio Magazine solicits confidential peer nominations from physicians across the greater San Antonio area. Doctors are asked to nominate medical professionals (across all specialties) whom they would personally trust with their own care or the care of their family members.

To preserve the integrity of the process, physicians may only nominate doctors whose clinical work they have personally observed. Once nominations are collected, San Antonio Magazine tallies the results and identifies the top percentage of vote recipients in each specialty. Finalists are then reviewed to confirm they are in good standing with state medical boards before the list is published.

A Trusted Pain Management Physician in San Antonio

Choosing a pain management doctor is a significant decision, especially for patients dealing with chronic or complex pain conditions. Peer recognition like this helps patients identify physicians who are respected not only by their patients but also by fellow medical professionals.

Dr. Smith is honored to be included among other highly regarded pain management physicians in San Antonio, as well as top doctors across multiple medical specialties.

“As a small, single-physician practice that just celebrated its third anniversary, it is especially gratifying to be recognized in a competitive field that includes many much larger pain management practices,” said Dr. Smith.

Patient-Focused Pain Management Care

As a board-certified pain management physician, Dr. Smith provides patients with an individualized, comprehensive management plan that reduces their pain and improves their quality of life. Our advanced approach to patient care combines compassionate communication with clinically proven methods to offer lasting pain relief.

This continued recognition reflects Dr. Smith’s commitment to delivering high-quality pain management care to patients throughout San Antonio and surrounding communities.

See the Full List of Top Doctors

The complete 2026 Top Doctors list is available through San Antonio Magazine.

Please join us in congratulating Dr. Zack Smith, Top Pain Management Physician in San Antonio, on this well-deserved achievement.

See Full List of Top Doctors

08/03/2026

Dear Painsmith Patients,

It has been a pleasure caring for all of my patients over the past several years here in San Antonio. Unfortunately, due to ongoing personal health issues, I will be unable to continue caring for you with the same high level of care you are used to. Because of this, my last date treating patients at Painsmith will be September 5, 2026.

If you have a scheduled appointment prior to this date, we are more than happy to keep that appointment, and will attempt to accommodate other patients who wish to be seen prior to our final date. If you wish to cancel your appointment please contact the office.

Your medical records will remain at Painsmith, and we are happy to forward your records to yourself or a physician of your choosing. Our office staff can assist you with forwarding or obtaining your records. Additionally, we are currently in discussions with other local area pain physicians who have expressed interest in assisting with your care moving forward. If we locate a physician with both capacity and capability to deliver the same quality of care, we will provide an update at that time.

Thank you,

William (Zack) Smith, MD