From the very beginning, the practice was also set apart from any others in the region by many firsts for otolaryngology in Lawton. Dr. Smith was the first to do endoscopic sinus surgery and offer the most complete allergy and sinus treatment in Lawton. Dr. Smith was the first in the area to offer laser surgery for snoring and sleep apnea, the first to offer nerve monitoring during complex head and neck surgeries, and the first to incorporate professional environmental testing and treatment into complete therapy for allergy and sinus disease.