Fred Smith started his lacrosse career at McDonogh School in Baltimore, where he played lacrosse from 1942-1945. After his selection as a first team All-Maryland midfielder in high school, Smith entered Johns Hopkins University in 1947. During his four years at Hopkins, Smith was a second team All-American in 1947, 1948, and 1949 and an honorable mention selection in 1950. He was a participant in two North-South All-Star Games, in 1948 and 1949. After his graduation, Smith played club lacrosse for Mt. Washington and Maryland Lacrosse Club for nine years. From 1952 he was involved as an assistant coach for Johns Hopkins University as a defensive coordinator, and served as head coach in 1951 and 1954. Smith was also selected to the Johns Hopkins All-Time Lacrosse Team, and received the Hero's College Coach of the Year Award in 1979. Fred Smith passed away in 1987.