-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
Originator-Key-Asymmetric:
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 QSjQKLWBZH3AFecSy8ZXt/P+vEagtpOLyPDnrbK5cgoRHBbpsPfQjfuoCk20cvHg
 YpD5mKLO2YC1TS29x+Yg+A==

<SEC-DOCUMENT>0001423743-09-000003.txt : 20090311
<SEC-HEADER>0001423743-09-000003.hdr.sgml : 20090311
<ACCEPTANCE-DATETIME>20090311111218
ACCESSION NUMBER:		0001423743-09-000003
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20090309
FILED AS OF DATE:		20090311
DATE AS OF CHANGE:		20090311

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Krelle John S
		CENTRAL INDEX KEY:			0001423743

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-32374
		FILM NUMBER:		09671594

	BUSINESS ADDRESS:	
		BUSINESS PHONE:		574-269-7390

	MAIL ADDRESS:	
		STREET 1:		3724 N STATE ROAD 15
		CITY:			WARSAW
		STATE:			IN
		ZIP:			46582

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Symmetry Medical Inc.
		CENTRAL INDEX KEY:			0001292055
		STANDARD INDUSTRIAL CLASSIFICATION:	ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
		IRS NUMBER:				351996126
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			0101

	BUSINESS ADDRESS:	
		STREET 1:		3724 N STATE ROAD 15
		CITY:			WARSAW
		STATE:			IN
		ZIP:			46582
		BUSINESS PHONE:		574-268-2252

	MAIL ADDRESS:	
		STREET 1:		3724 N STATE ROAD 15
		CITY:			WARSAW
		STATE:			IN
		ZIP:			46582
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgar.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0303</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2009-03-09</periodOfReport>

    <issuer>
        <issuerCik>0001292055</issuerCik>
        <issuerName>Symmetry Medical Inc.</issuerName>
        <issuerTradingSymbol>SMA</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001423743</rptOwnerCik>
            <rptOwnerName>Krelle John S</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O SYMMETRY MEDICAL INC.</rptOwnerStreet1>
            <rptOwnerStreet2>3724 N STATE ROAD 15</rptOwnerStreet2>
            <rptOwnerCity>WARSAW</rptOwnerCity>
            <rptOwnerState>IN</rptOwnerState>
            <rptOwnerZipCode>46582</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2009-03-09</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>P</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>10100</value>
                </transactionShares>
                <transactionPricePerShare>
                    <value>4.50</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>34800</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <footnotes></footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>/s/ John S. Krelle</signatureName>
        <signatureDate>2009-03-10</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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