Most of us do see floaters naturally. Floaters occur when the gel-like substance in our eye, also known as the vitreous, breaks down and liquefies. This usually happens with age or in people with high myopia.
Majority of the time, floaters are relatively harmless. Occasionally, it can be a result of a retinal tear or detachment which is a medical emergency and requires immediate surgical intervention as it is potentially sight-threatening.
As such, before the surgeon gives you the green light for SMILE or LASIK, he/she has to rule out the presence of any underlying eye conditions such as retinal tears or detachment.