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Exhibit 23.1

Consent of Independent Registered Public Accounting Firm

We consent to the incorporation by reference in the following Registration Statements:

(1)Registration Statement (Form S-8 No. 333-271092) pertaining to the Orchestra BioMed Holdings, Inc. 2023 Equity Incentive Plan and the Orchestra BioMed, Inc. 2018 Stock Incentive Plan,
(2)Registration Statement (Form S-3 No. 333-274924) of Orchestra BioMed Holdings, Inc.,  
(3)Registration Statement (Form S-8 No. 333-278285) pertaining to the Orchestra BioMed Holdings, Inc. 2023 Equity Incentive Plan,
(4)Registration Statement (Form S-3 No. 333-279430) Orchestra BioMed Holdings, Inc.,
(5)Registration Statement (Form S-8 No. 333-285058) pertaining to the Orchestra BioMed Holdings, Inc. 2023 Equity Incentive Plan,
(6)Registration Statement (Form S-3 No. 333-291207) of Orchestra BioMed Holdings, Inc.,
(7)Registration Statement (Form S-8 No. 333-293267) pertaining to the Orchestra BioMed Holdings, Inc. 2023 Equity Incentive Plan, and
(8)Registration Statement (Form S-8 No. 333-293268) pertaining to the Orchestra BioMed Holdings, Inc. 2025 New Hire Inducement Plan;

of our report dated March 12, 2026, with respect to the consolidated financial statements of Orchestra BioMed Holdings, Inc. included in this Annual Report (Form 10-K) of Orchestra BioMed Holdings, Inc. for the year ended December 31, 2025.

/s/ Ernst & Young LLP

Philadelphia, Pennsylvania

March 12, 2026