Surface mount technology (SMT) secures electronic components to printed circuit boards through soldering the leads directly to the surface rather than passing them through holes. This places more stress on the solder connections and can lead to higher failure rates compared to through-hole technology. SMT offers advantages like being able to mount components on both sides of boards and in closer proximity. However, special design considerations are needed like matching the coefficient of thermal expansion of components and boards and ensuring the soldering surfaces can withstand the temperatures of the soldering process without damage.