**EXHIBIT 31.1**

 

**CERTIFICATION**

 

I,Brian S. Moore, certify that:

 

1.                 I have reviewedthis quarterly report on Form 10-Q of Symmetry Medical Inc. (the “Corporation”);

 

2.                 Based on myknowledge, this report does not contain any untrue statement of a material factor omit to state a material fact necessary to make the statements made, inlight of the circumstances under which such statements were made, notmisleading with respect to the period covered by this report;

 

3.                 Based on myknowledge, the financial statements, and other financial information includedin this report, fairly present in all material respects the financialcondition, results of operations and cash flows of the Corporation as of, andfor, the periods presented in this report;

 

4.                 The Corporation’sother certifying officer and I are responsible for establishing and maintainingdisclosure controls and procedures (as defined in Exchange Act Rules13a-15(e) and15d-15(e)) for the Corporation and have:

 

(a)                                   Designed suchdisclosure controls and procedures, or caused such disclosure controls andprocedures to be designed under our supervision, to ensure that materialinformation relating to the Corporation, including its consolidatedsubsidiaries, is made known to us by others within those entities, particularlyduring the period in which this report is being prepared;

 

(b)                                  Designed suchinternal control over financial reporting, or caused such internal control overfinancial reporting to be designed under our supervision, to provide reasonableassurance regarding the reliability of financial reporting and the preparationof financial statements for external purposes in accordance with generallyaccepted accounting principles;

 

(c)                                   Evaluated theeffectiveness of the Corporation’s disclosure controls and procedures andpresented in this report our conclusions about the effectiveness of thedisclosure controls and procedures, as of the end of the period covered by thisreport based on such evaluation; and

 

(d)                                  Disclosed inthis report any change in the Corporation’s internal control over financialreporting that occurred during the Corporation’s most recent fiscal quarter(the Corporation’s fourth fiscal quarter in the case of an annual report) thathas materially affected, or is reasonably likely to materially affect, theCorporation’s internal control over financial reporting; and

 

5.                                                  The Corporation’sother certifying officer and I have disclosed, based on our most recentevaluation of internal control over financial reporting, to the Corporation’sauditors and the audit committee of the Corporation’s board of directors (orpersons performing the equivalent functions):

 

(a)                                   All significantdeficiencies and material weaknesses in the design or operation of internalcontrol over financial reporting which are reasonably likely to adverselyaffect the Corporation’s ability to record, process, summarize and reportfinancial information; and

 

(b)                                  Any fraud,whether or not material, that involves management or other employees who have asignificant role in the Corporation’s internal controls over financialreporting.

 

June 24,2008
|   | /s/  Brian S. Moore        |
|--------|----------------------------|
|   | Brian  S. Moore            |
|   | *Chief  Executive Officer* |

 

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