**EXHIBIT 31.1**

 

**CERTIFICATION**

 

I, Brian S. Moore,certify that:

 

1.                                       I have reviewed amended quarterly reporton Form 10-Q/A of Symmetry Medical Inc. (the “Corporation”);

 

2.                                       Based on my knowledge, this report doesnot contain 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 certifyingofficer and I are responsible for establishing and maintaining disclosurecontrols and procedures (as defined in Exchange Act Rules13a-15(e) and15d-15(e)) for the Corporation 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 overfinancial reporting, or caused such internal control over financial reportingto be designed under our supervision, to provide reasonable assurance regardingthe reliability of financial reporting and the preparation of financialstatements for external purposes in accordance with generally acceptedaccounting principles;

 

(c)                                   Evaluated the effectiveness of theCorporation’s disclosure controls and procedures and presented in this reportour conclusions about the effectiveness of the disclosure controls andprocedures, as of the end of the period covered by this report based on suchevaluation; and

 

(d)                                  Disclosed in this report any change inthe Corporation’s internal control over financial reporting that occurredduring the Corporation’s most recent fiscal quarter (the Corporation’s fourthfiscal quarter in the case of an annual report) that has materially affected,or is reasonably likely to materially affect, the Corporation’s internalcontrol over financial reporting; and

 

5.                                       The Corporation’s other certifyingofficer and I have disclosed, based on our most recent evaluation of internalcontrol over financial reporting, to the Corporation’s auditors and the auditcommittee of the Corporation’s board of directors (or persons performing theequivalent functions):

 

(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.

 
| April 23, 2008 | /s/ Brian S. Moore        |
|---------------------|---------------------------|
|                | Brian S. Moore            |
|                | *Chief Executive Officer* |

 

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