Exhibit 32.1

Section 1350 Certification
  
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
  
(Subsections (a) and (b) of Section 1350, Chapter 63 of Title 18, United States Code)

Pursuant to section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of section 1350, chapter 63 of title 18, United States Code), each of the undersigned officers of Symmetry Medical Inc., a Delaware corporation (the “Corporation”), does hereby certify that:

The Annual Report on Form 10-K/A for the year ended December 29, 2012 (the “Form 10-K”) of the Corporation fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934 and information contained in the Form 10-K/A fairly presents, in all material respects, the financial condition and results of operations of the Corporation.

Dated: November 7, 2013

/s/ THOMAS J. SULLIVAN

Thomas J. Sullivan
Chief Executive Officer

/s/ FRED L. HITE

Fred L. Hite
Chief Financial Officer