As of October 5, 2026, Trey Smith is not listed with a current injury by the Kansas City Chiefs. The Chiefs’ starting right guard dealt with a hip issue earlier in the season, but he was a full participant before Week 1 and had no game-status designation. More importantly, Smith did not appear on Kansas City’s Week 4 injury report and was not listed among the Chiefs’ inactive players for their October 4 game against the Las Vegas Raiders. That distinction matters because searches for Trey Smith injury still surface older updates about his 2026 hip problem and a more serious ankle injury from the 2025 season. Here is the current status and the verified timeline behind those reports.
Quick Bio: Trey Smith
| Detail | Information |
|---|---|
| Full Name | Henry Louis Smith III |
| Known As | Trey Smith |
| Age | 27 |
| Date of Birth | June 16, 1999 |
| Height | 6 feet 6 inches |
| Weight | 321 pounds |
| Position | Guard |
| Current Team | Kansas City Chiefs |
| Jersey Number | 65 |
| College | Tennessee |
| NFL Draft | 2021, Round 6 |
| Overall Pick | No. 226 |
| Current Status | Active |
The Chiefs’ official roster lists Smith as a 27-year-old guard wearing No. 65, while Tennessee’s athletics profile confirms his full name and June 16, 1999 birth date. Kansas City selected him with the 226th overall pick in the sixth round of the 2021 NFL Draft.
Is Trey Smith Injured Right Now?
There is currently no official indication that Trey Smith is sidelined by an injury.
Kansas City’s Week 4 report ahead of the Raiders matchup listed several players with injuries, including Josh Simmons, Chris Jones, Rashee Rice, Patrick Mahomes and L’Jarius Sneed. Smith was not on that report. He was also absent from the Chiefs’ inactive list on October 4.
That is a stronger indicator of his present availability than older articles that still reference his hip injury.
It is also more precise to say Smith is not currently listed with an injury rather than declaring him “100 percent healthy.” NFL injury reports describe practice and game availability; they do not provide a complete medical assessment of a player’s health.
Kansas City is now in its Week 5 bye. The Chiefs return to action on October 18 against the Los Angeles Chargers, so the next meaningful official update would come when the team resumes game-week practices.
What Was Trey Smith Hip Injury?
Smith’s most recent publicly reported issue was a hip injury during the buildup to the 2026 season.
The concern carried into the first regular-season injury report. However, the official Chiefs report showed Smith practicing fully on Thursday, Friday and Saturday before the Week 1 game against Denver. Although “hip” remained beside his name, he received no questionable, doubtful or out designation.
By Week 4, his name had disappeared from the injury report altogether.
That progression is important for readers finding older search results. A preseason or Week 1 article describing Smith as injured does not necessarily describe his status in October.
There has been no credible public reporting establishing that the hip problem is currently keeping him from playing.
What Happened to Trey Smith’s Ankle in 2025?
Smith’s 2025 ankle injury was a separate and more significant episode.
He was injured during Kansas City’s 23-20 overtime win over the Indianapolis Colts on November 23, 2025. NFL Network reported that Smith suffered both a high-ankle sprain and a low-ankle sprain. Reuters also reported that he was expected to miss time because of the injuries.
Kansas City subsequently listed him as a non-participant throughout the short practice week before its Thanksgiving matchup with Dallas and officially ruled him out.
NFL game logs show that Smith then missed games against Dallas, Houston and the Chargers before returning later in December. He was also absent from the 2025 regular-season finale against Las Vegas.
That ankle injury should not be confused with the hip issue reported in 2026.
Trey Smith’s Injury Timeline
| Period | Issue | Verified Status |
|---|---|---|
| 2018, Tennessee | Blood clots in lungs | Cleared to return after treatment |
| Nov. 2025 | High- and low-ankle sprains | Missed multiple games |
| 2026 preseason/Week 1 | Hip injury | Full participant before Week 1 |
| Week 4, 2026 | No injury listed | Active/currently not listed |
The timeline explains why different search results may appear to contradict one another. They often describe completely different points in Smith’s career.
What About Trey Smith’s Blood-Clot History?
Smith also has a significant medical history from his college career, but it should be treated separately from his recent football injuries.
While playing at Tennessee, Smith was diagnosed with blood clots in his lungs in 2018. ESPN reported at the time that doctors cleared him to play after treatment and consultation with specialists.
The issue later became part of the broader discussion surrounding Smith entering the NFL. Kansas City’s own draft profile also documented the medical concerns from his Tennessee career.
There is no reliable basis to suggest that his past blood-clot condition caused his 2025 ankle sprains or 2026 hip issue. Those events should not be connected without medical evidence.
Why Trey Smith’s Availability Matters to Kansas City
Smith has developed into a major part of the Chiefs’ offensive line since Kansas City selected him late in the 2021 NFL Draft.
His job at guard involves protecting the interior of the pocket for quarterback Patrick Mahomes while also creating running lanes. Smith has been a regular starter since his rookie season and earned a 2024 Pro Bowl selection, according to his Chiefs profile.
That durability is one reason an injury to Smith can attract attention beyond a typical offensive-line update. When he missed time with his ankle injury in 2025, Kansas City had to adjust the interior of its offensive line rather than simply losing a rotational player.
The current situation is different: there is no Week 4 injury designation for Smith heading into Kansas City’s bye.
Conclusion
For now, the clearest Trey Smith injury update is positive from an availability standpoint: his earlier hip issue is no longer appearing on Kansas City’s current injury report. Because NFL designations can change quickly, the Chiefs’ first official report before their October 18 matchup with the Chargers will provide the next authoritative status check.
FAQs
Is Trey Smith injured right now?
As of October 5, 2026, Trey Smith is not listed on the Kansas City Chiefs’ latest injury report. He was also not among the team’s inactive players against the Raiders on October 4.
What was Trey Smith latest injury?
The latest publicly documented issue was a hip injury around the start of the 2026 season. Smith was a full participant throughout the Chiefs’ Week 1 practice reports and had no final game-status designation.
Did Trey Smith suffer an ankle injury?
Yes. Smith suffered reported high- and low-ankle sprains against the Indianapolis Colts in November 2025. The injury caused him to miss multiple games.
Is Trey Smith playing in the Chiefs’ next game?
Kansas City does not play in Week 5 because of its bye. The Chiefs’ next scheduled game is against the Los Angeles Chargers on October 18. Smith currently has no injury designation, although his status should still be checked again when the next official injury report is released.
Did Trey Smith have blood clots?
Yes. Smith was diagnosed with blood clots in his lungs while at Tennessee and was later medically cleared to return to football. This is part of his historical college medical record, not his current injury status.
What position does Trey Smith play?
Smith is an offensive guard for the Kansas City Chiefs and wears No. 65. The Chiefs list him at 6-foot-6 and 321 pounds.
When was Trey Smith drafted?
The Chiefs selected Smith in the sixth round of the 2021 NFL Draft with the No. 226 overall pick after his college career at Tennessee.
Also Read: Explore Your Favorite Football Player Profiles: Max Arfsten
