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      <invstOrSec>
        <name>Fulgent Genetics Inc</name>
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      <invstOrSec>
        <name>Pacific Biosciences of Califor</name>
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      <invstOrSec>
        <name>iRhythm Technologies Inc</name>
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        <name>IQVIA Holdings Inc</name>
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      <invstOrSec>
        <name>Align Technology Inc</name>
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        <name>Doximity Inc</name>
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        <name>Cytek Biosciences Inc</name>
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        <name>CareDx Inc</name>
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        <name>Tandem Diabetes Care Inc</name>
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        <name>Veeva Systems Inc</name>
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        <name>MSILF Treasury Portfolio</name>
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        <name>Schrodinger Inc/United States</name>
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        <name>Guardant Health Inc</name>
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        <name>Natera Inc</name>
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        <name>Accolade Inc</name>
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        <name>Adaptive Biotechnologies Corp</name>
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        <name>Dexcom Inc</name>
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        <name>Definitive Healthcare Corp</name>
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        <name>Health Catalyst Inc</name>
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        <name>Globus Medical Inc</name>
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        <name>Olink Holding AB</name>
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        <name>Veracyte Inc</name>
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        <name>American Well Corp</name>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>NeoGenomics Inc</name>
        <lei>N/A</lei>
        <title>NeoGenomics Inc</title>
        <cusip>64049M209</cusip>
        <identifiers>
          <isin value="US64049M2098"/>
          <ticker value="NEO"/>
        </identifiers>
        <balance>424.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7381.84000000</valUSD>
        <pctVal>0.858441658315</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>ResMed Inc</name>
        <lei>529900T3QE5253CCXF22</lei>
        <title>ResMed Inc</title>
        <cusip>761152107</cusip>
        <identifiers>
          <isin value="US7611521078"/>
          <ticker value="RMD"/>
        </identifiers>
        <balance>310.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>67886.90000000</valUSD>
        <pctVal>7.894636433995</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>Castle Biosciences Inc</name>
        <lei>N/A</lei>
        <title>Castle Biosciences Inc</title>
        <cusip>14843C105</cusip>
        <identifiers>
          <isin value="US14843C1053"/>
          <ticker value="CSTL"/>
        </identifiers>
        <balance>98.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2226.56000000</valUSD>
        <pctVal>0.258928919990</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>Hims &amp; Hers Health Inc</name>
        <lei>549300ZQ4ZUYSAAX6P59</lei>
        <title>Hims &amp; Hers Health Inc</title>
        <cusip>433000106</cusip>
        <identifiers>
          <isin value="US4330001060"/>
          <ticker value="HIMS"/>
        </identifiers>
        <balance>492.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4880.64000000</valUSD>
        <pctVal>0.567574574258</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>Illumina Inc</name>
        <lei>SQ95QG8SR5Q56LSNF682</lei>
        <title>Illumina Inc</title>
        <cusip>452327109</cusip>
        <identifiers>
          <isin value="US4523271090"/>
          <ticker value="ILMN"/>
        </identifiers>
        <balance>331.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>76974.05000000</valUSD>
        <pctVal>8.951390321287</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>Hologic Inc</name>
        <lei>549300DYP6F5ZJL0LB74</lei>
        <title>Hologic Inc</title>
        <cusip>436440101</cusip>
        <identifiers>
          <isin value="US4364401012"/>
          <ticker value="HOLX"/>
        </identifiers>
        <balance>415.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>33490.50000000</valUSD>
        <pctVal>3.894644202235</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>TransMedics Group Inc</name>
        <lei>549300060GVOSMWARH50</lei>
        <title>TransMedics Group Inc</title>
        <cusip>89377M109</cusip>
        <identifiers>
          <isin value="US89377M1099"/>
          <ticker value="TMDX"/>
        </identifiers>
        <balance>100.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7573.00000000</valUSD>
        <pctVal>0.880671848539</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</title>
        <cusip>74340E103</cusip>
        <identifiers>
          <isin value="US74340E1038"/>
          <ticker value="PGNY"/>
        </identifiers>
        <balance>248.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7965.76000000</valUSD>
        <pctVal>0.926346307173</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>Alphatec Holdings Inc</name>
        <lei>549300EZE8CQ8K65FS24</lei>
        <title>Alphatec Holdings Inc</title>
        <cusip>02081G201</cusip>
        <identifiers>
          <isin value="US02081G2012"/>
          <ticker value="ATEC"/>
        </identifiers>
        <balance>348.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>5428.80000000</valUSD>
        <pctVal>0.631320656457</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</title>
        <cusip>87918A105</cusip>
        <identifiers>
          <isin value="US87918A1051"/>
          <ticker value="TDOC"/>
        </identifiers>
        <balance>567.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>14685.30000000</valUSD>
        <pctVal>1.707768426959</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>Outset Medical Inc</name>
        <lei>N/A</lei>
        <title>Outset Medical Inc</title>
        <cusip>690145107</cusip>
        <identifiers>
          <isin value="US6901451079"/>
          <ticker value="OM"/>
        </identifiers>
        <balance>115.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2116.00000000</valUSD>
        <pctVal>0.246071785489</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>10X Genomics Inc</name>
        <lei>5493003Z6741WNLG7H43</lei>
        <title>10X Genomics Inc</title>
        <cusip>88025U109</cusip>
        <identifiers>
          <isin value="US88025U1097"/>
          <ticker value="TXG"/>
        </identifiers>
        <balance>320.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>17852.80000000</valUSD>
        <pctVal>2.076120213602</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</title>
        <cusip>46120E602</cusip>
        <identifiers>
          <isin value="US46120E6023"/>
          <ticker value="ISRG"/>
        </identifiers>
        <balance>288.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>73575.36000000</valUSD>
        <pctVal>8.556153215131</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>Masimo Corp</name>
        <lei>549300Q4A8JK0PIYCU29</lei>
        <title>Masimo Corp</title>
        <cusip>574795100</cusip>
        <identifiers>
          <isin value="US5747951003"/>
          <ticker value="MASI"/>
        </identifiers>
        <balance>136.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>25097.44000000</valUSD>
        <pctVal>2.918606744806</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>Exact Sciences Corp</name>
        <lei>549300VM3X1FYD4N9Z14</lei>
        <title>Exact Sciences Corp</title>
        <cusip>30063P105</cusip>
        <identifiers>
          <isin value="US30063P1057"/>
          <ticker value="EXAS"/>
        </identifiers>
        <balance>530.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>35939.30000000</valUSD>
        <pctVal>4.179417637162</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>Axonics Inc</name>
        <lei>549300LJY4X7N57VJL05</lei>
        <title>Axonics Inc</title>
        <cusip>05465P101</cusip>
        <identifiers>
          <isin value="US05465P1012"/>
          <ticker value="AXNX"/>
        </identifiers>
        <balance>186.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>10148.16000000</valUSD>
        <pctVal>1.180139815988</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>Myriad Genetics Inc</name>
        <lei>52990044IHUOUMETT163</lei>
        <title>Myriad Genetics Inc</title>
        <cusip>62855J104</cusip>
        <identifiers>
          <isin value="US62855J1043"/>
          <ticker value="MYGN"/>
        </identifiers>
        <balance>270.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6272.10000000</valUSD>
        <pctVal>0.729388868510</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>2023-05-18</ncom:dateSigned>
      <ncom:nameOfApplicant>First Trust Exchange-Traded Fund II</ncom:nameOfApplicant>
      <ncom:signature>Donald P. Swade</ncom:signature>
      <ncom:signerName>Donald P. Swade</ncom:signerName>
      <ncom:title>Treasurer, Chief Financial Officer and Chief Accounting Officer</ncom:title>
    </signature>
  </formData>
</edgarSubmission>
