Item 5.03 Amendments to Articles of Incorporation or Bylaws; Change in Fiscal Year.

On November 3, 2009, the Board of Directors of Integra LifeSciences Holdings Corporation (the "Company") amended the Company's Bylaws to provide a more detailed process for business brought before meetings of stockholders, including procedures and disclosures for stockholders submitting proposals or nominating directors. These procedures include a specified time period for stockholders to propose business or to make nominations at annual meetings (generally, between 90 and 120 days before the one-year anniversary of the Company's prior year's annual meeting date). Other technical changes to other bylaw provisions were adopted to be consistent with prevalent practices at other companies.

The description set forth above regarding the Company's revised Bylaws is qualified in its entirety by reference to the full text of the Company's Amended and Restated Bylaws, a copy of which is filed as Exhibit 3.2 to this Current Report on Form 8-K and incorporated herein by reference.

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