content: <?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
    <headerData>
      <submissionType>144</submissionType>
      <filerInfo>
        <filer>
          <filerCredentials>
            <cik>0001305831</cik>
            <ccc>XXXXXXXX</ccc>
          </filerCredentials>
        </filer>
        <liveTestFlag>LIVE</liveTestFlag>
  
  
  
      </filerInfo>
    </headerData>
    <formData>
      <issuerInfo>
        <issuerCik>0001642545</issuerCik>
        <issuerName>Shockwave Medical, Inc.</issuerName>
        <secFileNumber>001-38829</secFileNumber>
        <issuerAddress>
          <com:street1>5403 BETSY ROSS DRIVE</com:street1>
          <com:city>SANTA CLARA</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>95054</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>(510) 279-4262</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>WATKINS FRANK T</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Officer</relationshipToIssuer>
        </relationshipsToIssuer>
      </issuerInfo>
      <securitiesInformation>
        <securitiesClassTitle>common</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Merrill</name>
          <address>
            <com:street1>8890 Lyra Dr 5th Flr</com:street1>
            <com:city>Columbus</com:city>
            <com:stateOrCountry>OH</com:stateOrCountry>
            <com:zipCode>43240</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>2000</noOfUnitsSold>
        <aggregateMarketValue>397975.00</aggregateMarketValue>
        <noOfUnitsOutstanding>36896750</noOfUnitsOutstanding>
        <approxSaleDate>01/08/2024</approxSaleDate>
        <securitiesExchangeName>NASDAQ</securitiesExchangeName>
      </securitiesInformation>
      <securitiesToBeSold>
        <securitiesClassTitle>common</securitiesClassTitle>
        <acquiredDate>05/09/2017</acquiredDate>
        <natureOfAcquisitionTransaction>stock option exercise</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Shockwave Medical</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>2000</amountOfSecuritiesAcquired>
        <paymentDate>01/08/2024</paymentDate>
        <natureOfPayment>cash</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
      <securitiesSoldInPast3Months>
        <sellerDetails>
          <name>Frank Watkins</name>
          <address>
            <com:street1>5403 Betsy Ross Dr</com:street1>
            <com:city>Santa Clara</com:city>
            <com:stateOrCountry>CA</com:stateOrCountry>
            <com:zipCode>95054</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <saleDate>10/20/2023</saleDate>
        <amountOfSecuritiesSold>3000</amountOfSecuritiesSold>
        <grossProceeds>608089.00</grossProceeds>
      </securitiesSoldInPast3Months>
      <securitiesSoldInPast3Months>
        <sellerDetails>
          <name>Frank Watkins</name>
          <address>
            <com:street1>5403 Betsy Ross Dr</com:street1>
            <com:city>Santa Clara</com:city>
            <com:stateOrCountry>CA</com:stateOrCountry>
            <com:zipCode>95054</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <saleDate>11/20/2023</saleDate>
        <amountOfSecuritiesSold>3000</amountOfSecuritiesSold>
        <grossProceeds>520043.00</grossProceeds>
      </securitiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>01/08/2024</noticeDate>
        <planAdoptionDates>
          <planAdoptionDate>09/05/2023</planAdoptionDate>
        </planAdoptionDates>
        <signature>Frank Watkins</signature>
      </noticeSignature>
    </formData>
  </edgarSubmission>
metadata_documents: [{"type": "144", "sequence": "1", "filename": "primary_doc.xml", "secsgml_size_bytes": 3984}]
text: 144
  0001305831
  XXXXXXXX
  LIVE
  0001642545
  Shockwave Medical, Inc.
  001-38829
  5403 BETSY ROSS DRIVE
  SANTA CLARA
  CA
  95054
  (510) 279-4262
  WATKINS FRANK T
  Officer
  common
  Merrill
  8890 Lyra Dr 5th Flr
  Columbus
  OH
  43240
  2000
  397975.00
  36896750
  01/08/2024
  NASDAQ
  common
  05/09/2017
  stock option exercise
  Shockwave Medical
  N
  2000
  01/08/2024
  cash
  N
  Frank Watkins
  5403 Betsy Ross Dr
  Santa Clara
  CA
  95054
  Common
  10/20/2023
  3000
  608089.00
  Frank Watkins
  5403 Betsy Ross Dr
  Santa Clara
  CA
  95054
  Common
  11/20/2023
  3000
  520043.00
  01/08/2024
  09/05/2023
  Frank Watkins