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      <invstOrSec>
        <name>Guardant Health Inc</name>
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      <invstOrSec>
        <name>Veracyte Inc</name>
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        <name>QuidelOrtho Corp</name>
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        <name>Adaptive Biotechnologies Corp</name>
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        <name>10X Genomics Inc</name>
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        <name>IRHYTHM HOLDINGS INC</name>
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        <name>HINGE HEALTH INC</name>
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      <invstOrSec>
        <name>Caris Life Sciences Inc.</name>
        <lei>549300LX5LO78M5VPY43</lei>
        <title>Caris Life Sciences Inc. COM</title>
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          <isin value="US1421521071"/>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>IQVIA Holdings Inc.</name>
        <lei>549300W3R20NM4KQPH86</lei>
        <title>IQVIA Holdings Inc. COM</title>
        <cusip>46266C105</cusip>
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          <isin value="US46266C1053"/>
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        <assetCat>EC</assetCat>
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          <isCashCollateral>N</isCashCollateral>
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        <name>HEARTFLOW INC</name>
        <lei>N/A</lei>
        <title>HeartFlow Inc. COM</title>
        <cusip>42238D107</cusip>
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          <isin value="US42238D1072"/>
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        <assetCat>EC</assetCat>
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          <isCashCollateral>N</isCashCollateral>
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        <name>PRIVIA HEALTH GROUP INC</name>
        <lei>N/A</lei>
        <title>Privia Health Group Inc. COM</title>
        <cusip>74276R102</cusip>
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          <isin value="US74276R1023"/>
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        <name>ESTABLISHMENT LABS HOLDINGS INC</name>
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        <title>Establishment Labs Hldgs Inc COM</title>
        <cusip>000000000</cusip>
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        <name>TransMedics Group Inc.</name>
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        <title>TransMedics Group Inc. COM</title>
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        <name>DexCom Inc</name>
        <lei>549300YSK3QDSFR5EU59</lei>
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        <name>Globus Med Inc</name>
        <lei>5299003M2P4CIK0RF205</lei>
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        <invCountry>US</invCountry>
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          <isCashCollateral>N</isCashCollateral>
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        <name>Tandem Diabetes Care Inc</name>
        <lei>549300JEPFOD0K4D3I05</lei>
        <title>Tandem Diabetes Care Inc COM NEW</title>
        <cusip>875372203</cusip>
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          <ticker value="TNDM"/>
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        <name>Veeva Systems Inc</name>
        <lei>549300YZEXPDB92M2F02</lei>
        <title>Veeva Systems Inc CL A COM</title>
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        <name>Align Technology Inc.</name>
        <lei>549300N5YSE0U3LCP840</lei>
        <title>Align Technology Inc. COM</title>
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        <name>Neogenomics Inc</name>
        <lei>549300KN62PPGHBVXB46</lei>
        <title>Neogenomics Inc COM NEW</title>
        <cusip>64049M209</cusip>
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        <name>Hims &amp; Hers Health Inc</name>
        <lei>254900V041EIVTSB6D58</lei>
        <title>Hims &amp; Hers Health Inc COM CL A</title>
        <cusip>433000106</cusip>
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        <name>Illumina Inc</name>
        <lei>SQ95QG8SR5Q56LSNF682</lei>
        <title>Illumina Inc COM</title>
        <cusip>452327109</cusip>
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          <ticker value="ILMN"/>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Schrodinger Inc.</name>
        <lei>984500044BAE4791E559</lei>
        <title>Schrodinger Inc. COM</title>
        <cusip>80810D103</cusip>
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          <isin value="US80810D1037"/>
          <ticker value="SDGR"/>
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        <balance>773.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>8781.28000000</valUSD>
        <pctVal>0.360556408049</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>LifeStance Health Group Inc</name>
        <lei>N/A</lei>
        <title>LifeStance Health Group Inc COM</title>
        <cusip>53228F101</cusip>
        <identifiers>
          <isin value="US53228F1012"/>
          <ticker value="LFST"/>
        </identifiers>
        <balance>2783.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>17727.71000000</valUSD>
        <pctVal>0.727893819642</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Progyny Inc</name>
        <lei>N/A</lei>
        <title>Progyny Inc COM</title>
        <cusip>74340E103</cusip>
        <identifiers>
          <isin value="US74340E1038"/>
          <ticker value="PGNY"/>
        </identifiers>
        <balance>863.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>14653.74000000</valUSD>
        <pctVal>0.601677643680</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Insulet Corporation</name>
        <lei>549300TZTYD2PYN92D43</lei>
        <title>Insulet Corporation COM</title>
        <cusip>45784P101</cusip>
        <identifiers>
          <isin value="US45784P1012"/>
          <ticker value="PODD"/>
        </identifiers>
        <balance>437.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>91700.08000000</valUSD>
        <pctVal>3.765174491952</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Inspire Medical Systems Inc</name>
        <lei>549300XQQCQ7HCJKTW25</lei>
        <title>Inspire Medical Systems Inc COM</title>
        <cusip>457730109</cusip>
        <identifiers>
          <isin value="US4577301090"/>
          <ticker value="INSP"/>
        </identifiers>
        <balance>403.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>20786.74000000</valUSD>
        <pctVal>0.853496564221</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Teladoc Health Inc</name>
        <lei>549300I2PVFBC9MFAC61</lei>
        <title>Teladoc Health Inc COM</title>
        <cusip>87918A105</cusip>
        <identifiers>
          <isin value="US87918A1051"/>
          <ticker value="TDOC"/>
        </identifiers>
        <balance>2580.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>14061.00000000</valUSD>
        <pctVal>0.577339938322</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Intuitive Surgical Inc.</name>
        <lei>54930052SRG011710797</lei>
        <title>Intuitive Surgical Inc. COM NEW</title>
        <cusip>46120E602</cusip>
        <identifiers>
          <isin value="US46120E6023"/>
          <ticker value="ISRG"/>
        </identifiers>
        <balance>428.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>197303.72000000</valUSD>
        <pctVal>8.101224488696</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Waystar Holding Corp</name>
        <lei>529900QJLKXDYU36MH89</lei>
        <title>Waystar Holding Corp COM</title>
        <cusip>946784105</cusip>
        <identifiers>
          <isin value="US9467841055"/>
          <ticker value="WAY"/>
        </identifiers>
        <balance>1506.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>36309.66000000</valUSD>
        <pctVal>1.490862446831</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>PROCEPT BIOROBOTICS CORP</name>
        <lei>N/A</lei>
        <title>Procept Biorobotics Corp. COM</title>
        <cusip>74276L105</cusip>
        <identifiers>
          <isin value="US74276L1052"/>
          <ticker value="PRCT"/>
        </identifiers>
        <balance>705.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>17632.05000000</valUSD>
        <pctVal>0.723966052165</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Oscar Health Inc</name>
        <lei>254900AE8KDLFDOPKZ19</lei>
        <title>Oscar Health Inc CL A</title>
        <cusip>687793109</cusip>
        <identifiers>
          <isin value="US6877931096"/>
          <ticker value="OSCR"/>
        </identifiers>
        <balance>4071.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>46694.37000000</valUSD>
        <pctVal>1.917255152250</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <explntrNotes>
      <explntrNote note="Monthly returns presented in Item B.5(a) have been calculated without deducting any applicable sales loads or redemption fees." noteItem="B.5.a"/>
    </explntrNotes>
    <signature>
      <ncom:dateSigned>2026-05-21</ncom:dateSigned>
      <ncom:nameOfApplicant>First Trust Exchange-Traded Fund II</ncom:nameOfApplicant>
      <ncom:signature>Derek Maltbie</ncom:signature>
      <ncom:signerName>Derek Maltbie</ncom:signerName>
      <ncom:title>Treasurer, Chief Financial Officer and Chief Accounting Officer</ncom:title>
    </signature>
  </formData>
</edgarSubmission>
