**EXHIBIT 31.1**

 

**CERTIFICATION**

 

I, Brian S. Moore, certify that:

 

1.                             Ihave reviewed this quarterly report on Form 10-Q of Symmetry Medical Inc. (the “Corporation”);

 

2.                             Basedon my knowledge, this report does not contain any untrue statement of amaterial fact or omit to state a material fact necessary to make the statementsmade, in light of the circumstances under which such statements were made, notmisleading with respect to the period covered by this report;

 

3.                             Basedon my knowledge, the financial statements, and other financial informationincluded in 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.                             TheCorporation’s other certifying officer and I are responsible for establishingand maintaining disclosure controls and procedures (as defined in Exchange ActRules13a-15(e) and 15d-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 in thisreport 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.                             TheCorporation’s other certifying officer and I have disclosed, based on our mostrecent evaluation of internal control over financial reporting, to theCorporation’s auditors and the audit committee of the Corporation’s board ofdirectors (or persons 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, whetheror not material, that involves management or other employees who have asignificant role in the Corporation’s internal controls over financialreporting.

 

August 7, 2008
|   |                      |
|--------|---------------------------|
|   | /s/ Brian S. Moore        |
|   | Brian S. Moore            |
|   | *Chief Executive Officer* |

 

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