**EXHIBIT 31.1**

**CERTIFICATION**

I, Brian Moore, certify that:

1.                  I have reviewed this quarterly report onForm 10-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 financialstatements, and other financial information included in this report, fairlypresent in all material respects the financial condition, results of operationsand cash flows of the Corporation as of, and for, the periods presented in thisreport;

4.                  The Corporation’s other certifying officer andI are responsible for establishing and maintaining disclosure controls andprocedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e))for the Corporation and have:

(a)            Designed such disclosure controls andprocedures, or caused such disclosure controls and procedures to be designedunder our supervision, to ensure that material information relating to theCorporation, including its consolidated subsidiaries, is made known to us byothers within those entities, particularly during the period in which thisreport is being prepared;

(b)           Designed such internal control over financial reporting, or caused suchinternal control over financial reporting to be designed under our supervision,to provide reasonable assurance regarding the reliability of financialreporting and the preparation of financial statements for external purposes inaccordance with generally accepted accounting principles;

(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 the Corporation’s internalcontrol over financial reporting that occurred during the Corporation’s mostrecent fiscal quarter (the Corporation’s fourth fiscal quarter in the case ofan annual report) that has materially affected, or is reasonably likely tomaterially affect, the Corporation’s internal control over financial 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 are reasonably likely to adversely affect the Corporation’sability to record, process, summarize and report financial information; and

(b)           Any fraud, whether or not material, that involves management or otheremployees who have a significant role in the Corporation’s internal controlsover financial reporting.

August 9, 2006
|        |     | /s/ BRIAN MOORE           |
|--------|----------|---------------------------|
|   |     | Brian Moore               |
|   | * * | *Chief Executive Officer* |

 

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