On November 16, 2012 the Board of Directors of Symmetry Medical Inc. (the "Company"), adopted Amendment No. 2 (the "Amendment") to the Company's 2004 Employee Stock Purchase Plan (the "Plan"). Pursuant to the terms of the Plan, the Amendment does not require stockholder approval and therefore is effective immediately. The Amendment modifies the Plan to clarify that eligible compensation includes commissions earned by the Company's salespeople. The Amendment also provides that fractional shares may be purchased to facilitate recordkeeping and avoid participants retaining an amount less than the price of a single share in their accounts after each purchase.

The description of the Amendment does not purport to be complete and is qualified in its entirety by reference to the Amendment, a copy of which is filed as Exhibit 10.73 to this report.

(d) Exhibits. The following exhibits are filed herewith:

Exhibit No.   Description

10.73         2004 Employee Stock Purchase Plan, as amended June 1, 2005 and November
              16, 2012