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EXHIBIT 4.(b)14

# AMENDMENT TO
AMENDMENT NO. 2 TO
RESTRUCTURING AGREEMENT

This amendment (the
Amendment) to Amendment No.2 to the Restructuring Agreementis
dated the 10th day of November 2008 between:

|1. | Lumenis
Ltd., a company incorporated under the laws of Israel, whose           registered
office is at Industrial Zone, Yoqneam, Israel (the           Borrower);
and
|-- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------

|2. | Bank
Hapoalim B.M.(the Bank)
|-- | ------------------------------

# WHEREAS:

|A. | On
30th September 2006, the Borrower and the Bank entered into a
          Restructuring Agreement (the Restructuring Agreement)
          pursuant to which the Borrower and the Bank agreed to restructure the Prior
          Outstanding Debt of the Borrower and subsidiaries of the Borrower into a single
          Loan (as defined therein) and to set out the terms and conditions applicable
          with respect to the Loan.
|-- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|B. | On December 5,
2006, the Borrower and the Bank entered into           Amendment No.1 to the
Restructuring Agreement,
|-- | --------------------------------------------------------------------------------------------------------------------

|C. | On June 25,
2008, the Borrower and the Bank entered into           Amendment No.2 to the
Restructuring Agreement (Amendment           No. 2),
|-- | -----------------------------------------------------------------------------------------------------------------------------------------------

|D. | The
Parties wish to amend Amendment No.2 as set forth herein.
|-- | -------------------------------------------------------------

# THEREFORE, IT IS HEREBY
AGREED AS FOLLOWS:

|1. | DEFINITIONS
AND INTERPRETATION
|-- | ------------------------------

| | 1.1 | In
this Amendment, capitalised terms that are used but not defined herein shall have the
meanings ascribed to such terms in Amendment No. 2.
| | --- | --------------------------------------------------------------------------------------------------------------------------------------------

| | 1.2 | Words
and defined terms denoting the singular number include the plural and vice versa and the
use of any gender shall be applicable to all genders.
| | --- | ----------------------------------------------------------------------------------------------------------------------------------------------------

| | 1.3 | The
 paragraph  headings  are for the  sake of  convenience  only  and  shall  not  affect
 the                 interpretation of this Amendment.
| | --- | -------------------------------------------------------------------------------------------------------------------------------------------------

|2. | AMENDMENTS
|-- | ----------

| | The
following amendments shall be made to the Restructuring Agreement:
| | ----------------------------------------------------------------------

| | 2.1 | All
 references to the words:  "the 90th  (ninetieth)  Business Day  following the Effective
 Date" in                 Clause 4 shall be replaced by: "December 11, 2008".
| | --- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 2.2 | The
 reference to the words  "within 30 (thirty)  days as of the  Effective  Date" in
 Sub-Clause 4(b)                 shall be replaced by: "by December 11, 2008".
| | --- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------



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| | The
Borrower and the Bank hereby agree that Amendment No. 2 shall be amended in
accordance with this Amendment. Other than as expressly amended as set out herein, the
provisions of the Restructuring Agreement and Amendment No. 2 shall remain unchanged
and in full force and effect in accordance with the terms thereof.
| | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|3. | MISCELLANEOUS
|-- | -------------

| | 3.1 | This Amendment may be executed in any number of counterparts and all of such counterparts
taken together shall be deemed to constitute one and the same instrument.
| | --- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 3.2 | This Amendment shall be construed in accordance with the laws of the State of Israel. The
exclusive place of jurisdiction for the purpose of this Amendment is hereby established as
the competent court of law in Israel situated in Tel Aviv-Jaffa.
| | --- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 3.3 | If a provision of this Amendment is or becomes illegal, invalid or unenforceable in any
jurisdiction, that shall not affect the validity or enforceability in that jurisdiction of
any other provision hereof or the validity or enforceability in other jurisdictions of
that or any other provision hereof.
| | --- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | Where
provisions of any applicable law resulting in such illegality, invalidity or
unenforceability may be waived, they are hereby waived by each party to the full extent
permitted so that this Amendment shall be deemed valid and binding agreements, enforceable
in accordance with its terms.
| | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 3.4 | Nothing in this Amendment shall create or confer upon any person or entity, other than the
parties hereto or their respective successors and permitted assigns, any rights, remedies,
obligations or liabilities.
| | --- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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IN WITNESS WHEREOF, the parties have
signed this Amendment on the date first mentioned above.

|for:   | LUMENIS LTD.                    
|------ | --------------------------------
|       |                                 
|By:    | /s/ Dov Ofer                    
|       |                   
|       | Dov Ofer                        
|       |                   
|       |                                 
|Title: | CEO                             
|       |                   
|       |                                 
|       |                                 
|for:   | BANK HAPOALIM B.M.              
|       |                                 
|By:    | /s/ Rachel Arbel                
|       |                   
|       | Rachel Arbel                    
|       |                   
|       |                                 
|Title: | CR. M.                          
|       | 
|       | BANK HAPOALIM BM HEAD OFFICE    

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