<?xml version="1.0" encoding="UTF-8"?>
<edgarSubmission xsi:schemaLocation="http://www.sec.gov/edgar/thirteenffiler eis_13F_Filer.xsd" xmlns="http://www.sec.gov/edgar/thirteenffiler" xmlns:ns1="http://www.sec.gov/edgar/common" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <headerData>
    <submissionType>13F-HR</submissionType>
    <filerInfo>
      <liveTestFlag>LIVE</liveTestFlag>
      <flags>
        <confirmingCopyFlag>false</confirmingCopyFlag>
        <returnCopyFlag>false</returnCopyFlag>
        <overrideInternetFlag>false</overrideInternetFlag>
      </flags>
      <filer>
        <credentials>
          <cik>0001157436</cik>
          <ccc>XXXXXXXX</ccc>
        </credentials>
      </filer>
      <periodOfReport>06-30-2019</periodOfReport>
    </filerInfo>
  </headerData>
  <formData>
    <coverPage>
      <reportCalendarOrQuarter>06-30-2019</reportCalendarOrQuarter>
      <isAmendment>false</isAmendment>
      <filingManager>
        <name>SHEETS SMITH WEALTH MANAGEMENT</name>
        <address>
          <ns1:street1>120 CLUB OAKS COURT</ns1:street1>
          <ns1:street2>SUITE 200</ns1:street2>
          <ns1:city>WINSTON-SALEM</ns1:city>
          <ns1:stateOrCountry>NC</ns1:stateOrCountry>
          <ns1:zipCode>27104</ns1:zipCode>
        </address>
      </filingManager>
      <reportType>13F HOLDINGS REPORT</reportType>
      <form13FFileNumber>028-06709</form13FFileNumber>
      <provideInfoForInstruction5>N</provideInfoForInstruction5>
    </coverPage>
    <signatureBlock>
      <name>Terry Ammons</name>
      <title>Financial Assistant</title>
      <phone>336-765-2020</phone>
      <signature>/s/ Terry Ammons</signature>
      <city>Winston-Salem</city>
      <stateOrCountry>NC</stateOrCountry>
      <signatureDate>07-12-2019</signatureDate>
    </signatureBlock>
    <summaryPage>
      <otherIncludedManagersCount>0</otherIncludedManagersCount>
      <tableEntryTotal>312</tableEntryTotal>
      <tableValueTotal>487142</tableValueTotal>
    </summaryPage>
  </formData>
</edgarSubmission>
