It means "shake my dick head". But you also have to say "SMDH at you," otherwise, you would just be shaking it for no apparent reason except to get off. So, it basically means the same thing as the original except more of a tisk tisk with exposed genitalia.
Dude 1-"Man, I lost that chick's number from the other night!"
Dude 2-"Sigh...smDh at you."
ayon kay CaryGrant ika-18 ng Abril, 2011
SMDH is an acronym for, "Shakin' my dickhead." Used when you witness an event that leaves you speechless. Or used as a follow up dance subsequently after the helicopter.
Example1: I saw this guy driving down the wrong side of the road today. Smdh shakin my dickhead

Example2: I got out of the shower at my girls house. She was watching american idol in the bedroom. So I stood in front of the tv, dropped my towel, smdh shakin my dickhead and broke out the helicopter on her.
ayon kay Nate Blaze ika-29 ng Hunyo, 2011
suck my dick hoe.
person one: smdh

person two: okay!
ayon kay notreallyblonde ika-25 ng Abril, 2010
Suck My Dick Ho!
When "Shaking My Damn Head" is just not enough, and what you really meant to say was "Suck My Dick Ho!" SMDH!
ayon kay badboybone ika-24 ng Enero, 2011
So Many Dumb Hoes
There are SMDH in this world.
ayon kay YoImCool ika-18 ng Oktubre, 2010
Shaking My Dick Head
I was thinking with the wrong head last night and my girlfriend slapped me in front of everyone. smdh...
ayon kay steelers2383 ika-07 ng Nobyembre, 2010
That bitch be getting it one in the club. Gotdamn. SMDH
ayon kay Spanish Jose ika-18 ng Agosto, 2008

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