**EXHIBIT 31.1**

**CERTIFICATION**

I,Brian S. Moore, certify that:

1.             I have reviewed this quarterly report on Form10-Q of Symmetry Medical Inc. (the “Corporation”);

2.             Based on my knowledge, this report does notcontain any untrue statement of a material fact or omit to state a materialfact necessary to make the statements made, in light of the circumstances underwhich such statements were made, not misleading with respect to the periodcovered by this report;

3.             Based on my knowledge, the financial statements,and other financial information included in this report, fairly present in allmaterial respects the financial condition, results of operations and cash flowsof the Corporation as of, and for, the periods presented in this report;

4.             The Corporation’s other certifying officer andI are responsible for establishing and maintaining disclosure controls andprocedures (as defined in Exchange Act Rules13a-15(e) and 15d-15(e)) for theCorporation and have:

(a)              Designed such disclosure controls and procedures,or caused such disclosure controls and procedures to be designed under oursupervision, to ensure that material information relating to the Corporation,including its consolidated subsidiaries, is made known to us by others withinthose entities, particularly during the period in which this report is beingprepared;

(b)              Designed such internal control over financialreporting, or caused such internal control over financial reporting to bedesigned under our supervision, to provide reasonable assurance regarding thereliability of financial reporting and the preparation of financial statementsfor external purposes in accordance with generally accepted accountingprinciples;

(c)              Evaluated the effectiveness of the Corporation’sdisclosure controls and procedures and presented in this report our conclusionsabout the effectiveness of the disclosure controls and procedures, as of theend of the period covered by this report based on such evaluation; and

(d)              Disclosed in this report any change in theCorporation’s internal control over financial reporting that occurred duringthe Corporation’s most recent fiscal quarter (the Corporation’s fourth fiscalquarter in the case of an annual report) that has materially affected, or isreasonably likely to materially affect, the Corporation’s internal control overfinancial reporting; and

5.             The Corporation’s other certifying officer andI have disclosed, based on our most recent evaluation of internal control overfinancial reporting, to the Corporation’s auditors and the audit committee ofthe Corporation’s board of directors (or persons performing the equivalentfunctions):

(a)              All significant deficiencies and materialweaknesses in the design or operation of internal control over financialreporting which could adversely affect the Corporation’s ability to record,process, summarize and report financial information; and

(b)              Any fraud, whether or not material, thatinvolves management or other employees who have a significant role in theCorporation’s internal controls over financial reporting.

August9, 2007
|        |     | /s/ BRIAN S. MOORE        |
|--------|----------|---------------------------|
|   |     | Brian S. Moore            |
|   | * * | *Chief Executive Officer* |

 

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