The Men's 200 metre individual medley SM7 swimming event at the 2004 Summer Paralympics was competed on 19 September. It was won by Rudy Garcia, representing .
1st round
Qualified for final round
Heat 1 19 Sept. 2004, morning session Rank Athlete Time Notes1 2:42.20 WR2 2:48.35 3 2:50.48 4 2:52.80 5 3:06.53 6 3:08.14 DSQ
Heat 2 19 Sept. 2004, morning session Rank Athlete Time Notes1 2:53.68 2 2:54.83 3 2:57.54 4 2:57.65 5 2:59.69 6 3:04.59 7 3:15.18
Final round
19 Sept. 2004, evening session Rank Athlete Time Notes 2:43.65 2:47.03 2:48.46 4 2:52.05 5 2:53.50 6 2:53.69 7 2:56.50 8 2:59.41
References