This document summarizes the findings of a tertiary review on code smells and refactoring. It analyzed 40 secondary studies on the topic. Key findings include: 1) Common refactoring topics investigated were opportunities, techniques and tools, while common smell topics were detection, descriptions and support tools. 2) Popular smell detection tools were CCFinder and Jdeodorant, while there were fewer refactoring tools. 3) The relationship between smells and refactoring is complex, as not all smells require refactoring and refactoring can sometimes negatively impact quality. The review identified implications for practitioners, researchers and educators, as well as open issues in the field.