Cognomen Smesko (Smesko 
) , all around the world, is a very rare last name. The family name Smesko is habitual in Estonia, where it is a rare surname, and the United States, where it is an extremely rare surname.
| VARIANT | COUNTRY |
|---|---|
| Smesko | Estonia, United States |
|
karl smesko American college basketball coach, US (b. 1970) |
|