From a medical crisis to the highest-paid guard in the NFL
In short: In 2018, a rising football star faced a sudden medical crisis when blood clots were discovered in his lungs. Today, Trey Smith has overcome those setbacks to become the highest-paid guard in the NFL, serving as a vital cornerstone for the Kansas City Chiefs' championship-winning offensive line.
Henry Louis "Trey" Smith III entered the college football scene as a phenomenon. A native of Humboldt, Tennessee, Smith was the top-ranked prospect in the 2017 class according to ESPN. After a decorated high school career at the University School of Jackson, he chose the Tennessee Volunteers over powerhouse programs like Alabama and Ohio State. Before his collegiate fame, he earned three All-State honors as an offensive lineman. His recruitment was so highly regarded that ESPN labeled him a five-star recruit.
His ascent was not without significant physical peril. During his sophomore season, Tennessee's medical staff identified blood clots in his lungs. While the issue had been detected in February 2018, the discovery forced him to miss the remainder of that season. Despite this setback, Smith returned to earn All-SEC honors and eventually transitioned to the professional ranks. The medical concern was initially thought to be resolved prior to the spring practice of 2018. During his freshman year, he demonstrated versatility by playing both right guard and left tackle.
The 2021 NFL Draft saw the Kansas City Chiefs select Smith in the sixth round, 226th overall. He quickly established himself as a reliable starter, playing a vital role in the Chiefs' offensive line stability. His championship pedigree includes victories in Super Bowl LVII against the Philadelphia Eagles and Super Bowl LVIII against the San Francisco 49ers. During his rookie campaign, he earned a spot on the NFL All-Rookie Team. He also played in three playoff games during that inaugural season.
A huge four-year, $94 million extension was inked by Smith on July 15, 2025, securing his place with the team. The agreement, featuring $70 million in guarantees, elevated him to the NFL's top-earning guard, highlighting his rise from an injured player to a premier star. The franchise tag was applied to him in February 2025. This massive deal includes $70 million in guaranteed money.
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- Summary by Intellect · source: Trey Smith (offensive lineman)
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