**EXHIBIT        31.1**

**CERTIFICATION**

| 1. | I                  have reviewed this quarterly report on Form 10-Q of Symmetry Medical                  Inc.                  (the “Corporation”); |
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| 2. | Based                  on my knowledge, this report does not contain any untrue statement                  of a                  material fact or omit to state a material fact necessary to make                  the                  statements made, in light of the circumstances under which such                  statements                  were made, not misleading with respect to the period covered by                  this                  report; |
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| 3. | Based                  on my knowledge, the financial statements, and other financial                  information                  included in this report, fairly present in all material respects                  the                  financial condition, results of operations and cash flows of the                  Corporation as of, and for, the periods presented in this                  report; |
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| 4. | The                  Corporation’s other certifying officer and I are responsible for                  establishing and maintaining disclosure controls and procedures                  (as                  defined in Exchange Act Rules13a-15(e) and 15d-15(e)) for the Corporation                  and have: |
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|   | (a) | Designed                  such disclosure controls and procedures, or caused such disclosure                  controls and procedures to be designed under our supervision, to                  ensure                  that material information relating to the Corporation, including                  its                  consolidated subsidiaries, is made known to us by others within                  those                  entities, particularly during the period in which this report is                  being                  prepared; |
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|   | (b) | Designed                  such internal control over financial reporting, or caused such                  internal                  control over financial reporting to be designed under our supervision,                  to                  provide reasonable assurance regarding the reliability of financial                  reporting and the preparation of financial statements for external                  purposes in accordance with generally accepted accounting                  principles; |
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|   | (c) | Evaluated                  the effectiveness of the Corporation’s disclosure controls and procedures                  and presented in this report our conclusions about the effectiveness                  of                  the disclosure controls and procedures, as of the end of the period                  covered by this report based on such evaluation;                  and |
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|   | (d) | Disclosed                  in this report any change in the Corporation’s internal control over                  financial reporting that occurred during the Corporation’s most recent                  fiscal quarter (the Corporation’s fourth fiscal quarter in the case of an                  annual report) that has materially affected, or is reasonably likely                  to                  materially affect, the Corporation’s internal control over financial                  reporting; and |
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| 5. | The                  Corporation’s other certifying officer and I have disclosed, based on our                  most recent evaluation of internal control over financial reporting,                  to                  the Corporation’s auditors and the audit committee of the Corporation’s                  board of directors (or persons performing the equivalent                  functions): |
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|   | (a) | All                  significant deficiencies and material weaknesses in the design                  or                  operation of internal control over financial reporting which are                  reasonably likely to adversely affect the Corporation’s ability to record,                  process, summarize and report financial information;                  and |
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|   | (b) | Any                  fraud, whether or not material, that involves management or other                  employees who have a significant role in the Corporation’s internal                  controls over financial reporting. |
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|   |   | /s/                  Brian S. Moore        |
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|   |   | Brian                  S. Moore            |
|   |   | *Chief                  Executive Officer* |

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