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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
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<SEC-DOCUMENT>0001423494-08-000007.txt : 20080528
<SEC-HEADER>0001423494-08-000007.hdr.sgml : 20080528
<ACCEPTANCE-DATETIME>20080528144525
ACCESSION NUMBER:		0001423494-08-000007
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20080523
FILED AS OF DATE:		20080528
DATE AS OF CHANGE:		20080528

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

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			ORESMAN STEPHEN B
		CENTRAL INDEX KEY:			0001214512

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-32374
		FILM NUMBER:		08863237

	MAIL ADDRESS:	
		STREET 1:		49 SUNSWYCK ROAD
		CITY:			DARIEN
		STATE:			CT
		ZIP:			06820
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgar.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2008-05-23</periodOfReport>

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

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001214512</rptOwnerCik>
            <rptOwnerName>ORESMAN STEPHEN B</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>49 SUNSWYCK ROAD</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>DARIEN</rptOwnerCity>
            <rptOwnerState>CT</rptOwnerState>
            <rptOwnerZipCode>06820</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>2008-05-23</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>3700</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>.0001</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>13767</value>
                    <footnoteId id="F2"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">Consists of restricted stock issued annually pursuant to the Issuer's 2004 Equity Incentive Plan.  Shares vest equally over a three year period on December 31 of each year.  As of this date, none of Reported Person's shares of restricted stock have vested.</footnote>
        <footnote id="F2">Total includes 1,667 shares of restricted stock issued in 2005, 1,000 shares of restricted stock issued in 2006, 3,700 shares of restricted stock issued in 2007 and 3,700 shares of restricted stock issued in 2008 pursuant to the Issuer's 2004 Equity Incentive Plan.  Shares vest equally over a three year period on December 31 of each year.  As of this date, 3,566.99 shares of restricted stock have vested.</footnote>
    </footnotes>

    <remarks></remarks>

    <ownerSignature>
        <signatureName>Stephen B. Oresman</signatureName>
        <signatureDate>2008-05-28</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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