UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549



FORM 10-K/A



ANNUAL REPORT PURSUANT TO SECTION 13
OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended January 3,
2015



Commission File Number: 001-36770



SYMMETRY SURGICAL INC.

(Exact name
of registrant as specified in its charter)



|Delaware                                                       | 47-1523659                          
|-------------------------------------------------------------- | ------------------------------------
|(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.)
|                                                               |                                     
|3034 Owen Drive, Antioch, Tennessee                            | 37013                               
|(Address of principal executive offices)                       | (Zip Code)                          
|                                                               |                                     
|(800) 251-3000                                                 |                                     
|(Registrant’s telephone number, including area code)           |                                     



Securities registered pursuant
to Section 12(b) of the Act:



|Title of Each Class:                      |  | Name of Each Exchange on Which Registered:
|----------------------------------------- |  | ------------------------------------------
|Common Stock, Par Value $0.0001 Per Share |  | The NASDAQ Global Market                  



Securities registered pursuant
to section 12(g) of the Act:None



Indicate by check mark if the registrant is a well-known seasoned
issuer, as defined in Rule 405 of the Securities

Act. Yeso Nox

Indicate by check mark if the registrant is not required to
file reports pursuant to Section 13 or Section 15(d) of the

Act. Yeso Nox

Indicate by check mark whether the registrant
(1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding
12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days.       x Yes ̈ No

Indicate by check mark whether the registrant
has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted
and posted pursuant to Rule 405 of Regulation S-T (S232.405 of this chapter) during the preceding 12 months (or for such shorter
period that the registrant was required to submit and post such files).x Yes
  ̈ No

Indicate by check mark if disclosure of delinquent filers pursuant
to Item 405 of Regulation S-K (229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant's
knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment
to this Form 10-K.x

Indicate by check mark whether the registrant
is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions
of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2
of the Exchange Act.



| | Large accelerated filer ̈                                             | Accelerated filer ̈        
| | -------------------------------------------------------------------- | --------------------------
| | Non-accelerated
filerx (Do not check if a smaller reporting company) | Smaller reporting company ̈



Indicate by check mark whether the
registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).       ̈
Yes  x No



As of June 28, 2014, the registrant's common stock was not publicly
traded.



The number of shares outstanding of the
registrant’s common stock as of March 6, 2015 was 10,313,377 shares.



DOCUMENTS INCORPORATED BY REFERENCE

None.















EXPLANATORY NOTE



We are filing this
Amendment No. 1 to our Annual Report on Form 10-K for the fiscal year ended January 3, 2015, which was filed with the U.S. Securities
and Exchange Commission on March 13, 2015 (the “Original Report”), solely to file our Bylaws as Exhibit 3.4.
The Original Report incorporated by reference to exhibited Bylaws which did not reflect modifications thereto adopted by our Board
of Directors on December 17, 2014.



No other changes were
made to the Original Report other than the change described above. This Amendment No. 1 does not reflect subsequent events occurring
after the original filing date of the Original Report or modify or update in any way disclosures made in the Original Report. Pursuant
to Rule 12b-15 under the Securities Exchange Act of 1934, as amended, as a result of this amended report, the required portions
of the certifications pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 filed as exhibits to the Original Report have been
re-executed and re-filed as of the date of this amended report and are included as exhibits hereto.








PART IV

Item 15. Exhibits, Financial Statement Schedules







| | (a) | See Part II, Item 8 for an index of the Company’s
consolidated and combined financial statements.
| | --- | -------------------------------------------------------------------------------------------------

| | (b) | Exhibits:
| | --- | ---------



|2.1   | Separation Agreement between Symmetry Medical Inc. and Symmetry Surgical Inc. (f/k/a Racecar Spinco, Inc.) (incorporated by reference to Exhibit 2.1 of Symmetry Surgical Inc. Registration Statement on Form S-4 (File No. 333-198596), as amended, which became effective on November 4, 2014 (the "Registration Statement").
|----- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|      | Articles of Incorporation and Bylaws                                                                                                                                                                                                                                                                                           
|3.1   | Certificate of Incorporation of Symmetry Surgical Inc. (f/k/a Racecar Spinco, Inc.) (incorporated by reference to Exhibit 3.1 of the Registration Statement).                                                                                                                                                                  
|3.2   | Certificate of Amendment to the Certificate of Incorporation of Symmetry Surgical Inc. (f/k/a Racecar Spinco, Inc.) (incorporated by reference to Exhibit 3.2 of Registration Statement).                                                                                                                                      
|3.3   | Form of Amended and Restated Certificate of Incorporation of Symmetry Surgical Inc. (incorporated by reference to Exhibit 3.3 of the Registration Statement).                                                                                                                                                                  
|3.4   | Bylaws of Symmetry Surgical Inc., as amended through December 17, 2014.*                                                                                                                                                                                                                                                       
|3.5   | Form of Amended and Restated Bylaws of Symmetry Surgical Inc. (incorporated by reference to Exhibit 3.5 of the Registration Statement).                                                                                                                                                                                        
|      | Instruments Defining the Rights of Security Holders, Including Indentures                                                                                                                                                                                                                                                      
|4.1   | Form of Common Stock Certificate, $0.0001 par value per share (incorporated by reference to Exhibit 4.1 of the Registration Statement).                                                                                                                                                                                        
|      | Material Contracts                                                                                                                                                                                                                                                                                                             
|10.1† | Form of Quality Agreement between Symmetry Medical Inc. and Symmetry Surgical Inc. (f/k/a Racecar Spinco, Inc.) (incorporated by reference to Exhibit 10.1 of the Registration Statement).                                                                                                                                     
|10.2† | Form of Shared IP Cross License Agreement between Symmetry Medical Inc. and Symmetry Surgical Inc. (f/k/a Racecar Spinco, Inc.) (incorporated by reference to Exhibit 10.2 of the Registration Statement).                                                                                                                     
|10.3† | Form of Supply Agreement between Symmetry Medical Inc. and Symmetry Surgical Inc. (f/k/a Racecar Spinco, Inc.) (incorporated by reference to Exhibit 10.3 of the Registration Statement).                                                                                                                                      
|10.4† | Form of Transition Services Agreement Symmetry Medical Inc. and Symmetry Surgical Inc. (f/k/a Racecar Spinco, Inc.) (incorporated by reference to Exhibit 10.4 of the Registration Statement).                                                                                                                                 
|10.5† | Form of Symmetry Surgical Inc. 2014 Equity Incentive Plan (incorporated by reference to Exhibit 10.5 of the Registration Statement).                                                                                                                                                                                           













|10.6†  | Credit Agreement dated as of December 5, 2014, among Symmetry Surgical Inc., Specialty Surgical Instrumentation, Inc. and Olsen Medical, LLC as Borrowers, General Electric Capital Corporation as a Lender and Swingline Lender and as Agent for all Lenders, the other financial institutions party thereto as Lenders and GE Capital Markets, Inc. as Sole Lead Arranger and Bookrunner. (incorporated by reference to Exhibit 10.1 to our Form 10-Q filed on December 19, 2014).
|------ | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|10.7†  | Form of Restricted Stock Agreement issued under 2014 Equity Incentive Plan.*                                                                                                                                                                                                                                                                                                                                                                                                        
|10.8†  | Form of Indemnity Agreement.*                                                                                                                                                                                                                                                                                                                                                                                                                                                       
|10.9†  | Audit Committee Charter.*                                                                                                                                                                                                                                                                                                                                                                                                                                                           
|10.10† | Employment and Executive Benefit Agreement by and between Symmetry Surgical Inc. and Thomas J. Sullivan, dated November 28, 2014.*                                                                                                                                                                                                                                                                                                                                                  
|10.11† | Employment and Executive Benefit Agreement by and between Symmetry Surgical Inc. and Scott D. Kunkel, dated November 28, 2014.*                                                                                                                                                                                                                                                                                                                                                     
|10.12† | Employment and Executive Benefit Agreement by and between Symmetry Surgical Inc. and David C. Milne, dated November 28, 2014.*                                                                                                                                                                                                                                                                                                                                                      
|10.13† | Employment and Executive Benefit Agreement by and between Symmetry Surgical Inc. and Ronda L. Harris, dated November 28, 2014.*                                                                                                                                                                                                                                                                                                                                                     
|10.14† | Employment and Executive Benefit Agreement by and between Symmetry Surgical Inc. and Jose Fernandez, dated November 28, 2014.*                                                                                                                                                                                                                                                                                                                                                      
|       | Other                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
|21.1   | List of Subsidiaries.*                                                                                                                                                                                                                                                                                                                                                                                                                                                              



|23.1    | Consent of Independent Registered Public Accounting Firm, Ernst & Young LLP.*                                                                                                                           
|------- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|24.1    | Power of Attorney.*                                                                                                                                                                                     
|        | Executive Officer Certifications                                                                                                                                                                        
|31.1    | Certification of Chief Executive Officer required by Item 307 of Regulation S-K as promulgated by the Securities and Exchange Commission and pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*
|31.2    | Certification of Chief Financial Officer required by Item 307 of Regulation S-K as promulgated by the Securities and Exchange Commission and pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*
|32.1    | Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.*                         
|        | XBRL                                                                                                                                                                                                    
|101.INS | XBRL Instance Document.~                                                                                                                                                                                
|101.SCH | XBRL Taxonomy Extension Schema Document.~                                                                                                                                                               
|101.CAL | XBRL Taxonomy Extension Calculation Linkbase Document.~                                                                                                                                                 
|101.DEF | XBRL Taxonomy Extension Definition Linkbase Document.~                                                                                                                                                  
|101.LAB | XBRL Taxonomy Extension Label Linkbase Document.~                                                                                                                                                       
|101.PRE | XBRL Taxonomy Extension Presentation Linkbase Document.~                                                                                                                                                





| | † | Indicates management contract or compensatory plans or
arrangements required to be filed as an exhibit.
| | - | -------------------------------------------------------------------------------------------------------

| | * | Filed currently herewith.
| | - | -------------------------

| | ~ | In accordance with Rule 406T under Regulation S-T, the
XBRL-related information in Exhibit 101 shall be deemed “furnished” and not “filed.”
| | - | -------------------------------------------------------------------------------------------------------------------------------------------













SIGNATURES



Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.



|                | SYMMETRY MEDICAL INC.
|--------------- | ---------------------
|                |                      
|                | By                   
|                |                      
|                |                      
|                |                      
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|August 10, 2015 |