UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549


                                    FORM 8-K

                                 CURRENT REPORT
                       Pursuant to Section 13 or 15(d) of
                       the Securities Exchange Act of 1934

       Date of Report (date of earliest event reported): October 31, 2003

                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION

             (Exact name of Registrant as specified in its charter)


                           Delaware 0-26224 51-0317849
    (State     or other jurisdiction of (Commission File Number) (I.R.S.
               Employer incorporation or organization) Identification No.)
                              311 Enterprise Drive
                              Plainsboro, NJ 08536
               (Address of principal executive offices) (Zip Code)
                                 (609)-275-0500
              (Registrant's telephone number, including area code)
                                 Not Applicable
          (Former name or former address, if changed since last report)











ITEM 7.  Financial Statements, Pro Forma Financial Information and Exhibits.

(a) Not applicable

(b) Not applicable

(c) Exhibits.

Exhibit
Number      Description of Exhibit
-------     ----------------------
99.1     Press release issued October 31, 2003 regarding earnings for the
         quarter ended September 30, 2003

This exhibit is being furnished under Item 12, Results of Operations and
Financial Condition of this Form 8-K and shall not be deemed "filed" for
purposes of Section 18 of the Securities Exchange Act of 1934, nor shall it be
deemed incorporated by reference in any filing under the Securities Act of 1933,
except as shall be expressly set forth by specific reference in such filing.


ITEM 12.  Results of Operations and Financial Condition

On October 31, 2003, Integra LifeSciences Holdings Corporation issued a press
release announcing financial results for the quarter ended September 30, 2003. A
copy of the press release is attached as Exhibit 99.1 to this Current Report on
Form 8-K.

The information in this Form 8-K and the Exhibit attached hereto shall not be
deemed "filed" for purposes of Section 18 of the Securities Act of 1934, nor
shall it be deemed incorporated by reference in any filing under the Securities
Act of 1933, except as shall be expressly set forth by specific reference in
such filing.














                                   SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended,
the Registrant has duly caused this report to be signed on its behalf by the
undersigned, hereunto duly authorized.



                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION


Date: October 31, 2003                     By: /s/ Stuart M. Essig
                                           -----------------------------
                                           Stuart M. Essig
                                           President and Chief Executive Officer








                                  Exhibit Index
                                  -------------


Exhibit
Number      Description of Exhibit
-------     ----------------------

99.1              Press release issued October 31, 2003 regarding earnings for
                  the quarter ended September 30, 2003












Exhibit 99.1





News Release

Contacts:
John Bostjancic                                Maria Platsis
Senior Director of Finance                     Director of Corporate Development
(609) 936-2239                                 and Investor Relations
jbostjancic@integra-ls.com                     (609) 936-2333
                                               mplatsis@integra-ls.com


Integra LifeSciences Reports Record Operating Earnings and Revenues for the
Third Quarter 2003


Plainsboro, New Jersey, October 31, 2003 -- Integra LifeSciences Holdings
Corporation (Nasdaq: IART) today reported net income of $6.8 million, or $0.23
per share, for the third quarter of 2003, as compared to net income of $1.6
million, or $0.05 per share, in the third quarter of 2002.

Total revenues in the third quarter of 2003 increased by $16.9 million to $47.1
million, a 56% increase over the third quarter of 2002, as product revenues
increased by $14.2 million to $43.5 million and other revenues increased by $2.6
million to $3.6 million. Other revenues in the third quarter included a $2.5
million event payment from ETHICON Inc. for the achievement of various
regulatory objectives for the INTEGRA(R) Dermal Regeneration Template.

Operating income for the period was $10.9 million, a more than fivefold increase
over the third quarter of 2002.

"I am pleased with our performance in the third quarter," said Stuart M. Essig,
Integra's President and Chief Executive Officer. "We achieved record revenues
and operating income while continuing to position the Company for sustained
growth. During the quarter, we added significantly to our marketing
infrastructure by increasing the number of product managers and support staff."

In September, we amended our 1999 supply and distribution agreement for the
INTEGRA Dermal Regeneration Template with ETHICON Inc. to provide for the return
to Integra on January 1, 2004 of the exclusive right to sell, market and
distribute the INTEGRA product. We also resolved our disagreement with ETHICON
Inc. regarding the attainment of certain clinical and regulatory events under
the 1999 agreement and recorded a $2.5 million event payment in connection with
the attainment of those events. We intend to distribute the INTEGRA Dermal
Regeneration Template through our plastic and reconstructive surgery sales
force.

In August we acquired the assets of Tissue Technologies, Inc., the manufacturer
and distributor of the UltraSoft(TM) line of facial implants for soft tissue
augmentation of the facial area. We market the UltraSoft products directly to
cosmetic and reconstructive surgeons through our plastic and reconstructive
surgery sales force.

On October 28, 2003, we agreed to acquire Spinal Specialties, Inc. from I-Flow
Corporation (Nasdaq: IFLO) for approximately $6.0 million in cash. Spinal
Specialties assembles and sells custom kits and products for chronic pain
management, including the OsteoJect(TM) Bone Cement Delivery System and the
ACCU-DISC(TM) Pressure Monitoring System. Spinal Specialties markets its
products to anesthesiologists and interventional radiologists through an
in-house telemarketing team and a network of distributors.

Our revenues for the period were as follows:


                                                Three Months                           Nine Months
                                            Ended September 30,                    Ended September 30,
                                            2003          2002                    2003            2002
                                                                                      
Product Revenue:
 Neuromonitoring products                 $11,679        $9,725                  $32,763        $26,705
 Operating room products                   13,555        10,195                   38,976         26,461
 Instruments                               13,141         3,517                   31,746         11,022
 Private label products                    5,092         5,794                   16,349         14,335
    Total Product Revenue                  43,467        29,231                  119,834         78,523
 Other revenue                             3,591           973                    6,740          4,038
    Total Revenue                         $47,058       $30,204                 $126,574        $82,561

Increased sales of our intracranial monitoring products and drainage systems
provided most of the year-over-year growth in neuromonitoring product revenues.
Continued strong growth in sales of our DuraGen(R) Dural Graft Matrix and
NeuraGen(TM) Nerve Guide products and sales of neurosurgical shunt products
acquired in 2002 accounted for the increase in operating room product revenues.
Sales of the recently acquired JARIT(R) and Padgett(TM) surgical instrument
lines contributed $8.8 million of the year-over-year increase in instrument
revenues. Increased sales of our ultrasonic aspirator products contributed the
remainder of the growth in instrument product revenues. The decline in our
private label product revenues is primarily attributable to a decline in
revenues from the Absorbable Collagen Sponge we supply for use in Medtronic's
INFUSE bone graft product.

Acquisitions and new product launches contributed significantly to our product
revenue growth. Revenues from product lines acquired since the beginning of the
third quarter of 2002 accounted for $10.3 million of the increase in product
revenues. Excluding revenues attributable to private label product lines,
product lines acquired since the beginning of the third quarter of 2002, and the
effect of changes in foreign currency exchange rates, third quarter 2003 product
revenues increased by $4.2 million, or 19%, over the prior year period.
Excluding recently acquired product lines and changes in foreign currency
exchange rates, third quarter 2003 product revenues increased by $3.6 million,
or 13%, over the prior year period, notwithstanding the decline in private label
product revenues.

Gross margin on product revenues in the third quarter of 2003 was 57%. Our gross
margin was negatively affected by the change in our product mix caused by recent
acquisitions and by $401,000 of inventory fair value purchase accounting
adjustments from the sale of acquired JARIT inventory during the quarter.
Excluding inventory fair value purchase accounting adjustments, our gross margin
on product revenues would have been 58%.

Research and development expense decreased $2.1 million in the third quarter of
2003 primarily as a result of in-process research and development charges taken
in the third quarter of 2002 in connection with the acquisitions of Signature
Technologies, Inc. and of certain assets of Novus Monitoring Limited. Sales and
marketing expense increased by $3.4 million to $10.1 million in the third
quarter of 2003, and was 23% of product revenues in both the third quarter of
2003 and the prior year period. General and administrative expense decreased
$400,000 in the third quarter of 2003 to $3.8 million.

We reported net interest expense of $188,000 in the third quarter of 2003, as
compared to net interest income of $822,000 in the prior year period. This
change resulted primarily from interest expense associated with the $120.0
million of contingent convertible subordinated notes that we issued earlier this
year. Other income increased by $320,000 to $309,000 as a result of gains
realized on the sale of marketable securities and gains recorded in connection
with an interest rate swap transaction executed in August. The interest rate
swap has been designated as a hedge against changes in the fair value of our
fixed-rate convertible debt.

The $3.4 million increase in income tax expense in the third quarter of 2003
reflects an increase in our expected effective tax rate to 37.2% for 2003 as
compared to 35% reported for the third quarter of 2002. This increase results
primarily from a change in the geographic mix of projected taxable income for
2003, including the effects of the additional revenue associated with the
amendment to our distribution agreement with ETHICON Inc.

The Company generated $8.1 million in cash flows from operations in the third
quarter of 2003. Year-to-date, we have generated $31.2 million of operating cash
flows in 2003, as compared to $20.5 million in the prior year period.

The Company's cash and investments totaled $209.1 million at September 30, 2003.

Integra is updating its expectations for product revenues and earnings for the
remainder of 2003 and 2004. Our guidance for the fourth quarter of 2003 is for
product revenues of $45.5 to $46.5 million. We expect to book additional other
revenues, expenses and other income in connection with and as a result of the
amendment to the ETHICON Inc. distribution agreement. Earnings per share for the
fourth quarter of 2003 are expected to be in the range of $0.28 to $0.33.

We expect total revenues to increase to between $205 million and $215 million in
2004. Gross margin is expected to be 62% of product revenues in 2004. Excluding
a potential in-process research and development charge related to a $1.5 million
milestone payment that may become due in connection with a product development
agreement, we expect our earnings to be within a range of $1.08 to $1.14 per
share in 2004. Management's expectations for 2003 and 2004 financial performance
include the impact of the Spinal Specialties acquisition, as we expect the
transaction to close in the next several days, but do not include the impact of
acquisitions or other strategic corporate transactions that have not yet been
announced.

We have scheduled a conference call for 9:00 am EST today, October 31, 2003, to
discuss the financial results for the third quarter of 2003 and to further
discuss forward-looking financial guidance. The call is open to all listeners
and will be followed by a question and answer session. Access to the live call
is available by dialing (973) 935-2100 or through a listen-only webcast via a
link provided on the home page of Integra's website at www.Integra-LS.com. A
replay of the conference call will be accessible starting one hour following the
live event. Access to the replay is available through November 14, 2003 by
dialing (973) 341-3080 (access code 3609053) or through the webcast accessible
on our home page.

Integra LifeSciences Holdings Corporation is a diversified medical technology
company that develops, manufactures, and markets medical devices for use in a
variety of applications. The primary applications for our products are
neuro-trauma and neurosurgery, plastic and reconstructive surgery and general
surgery. Integra is a leader in applying the principles of biotechnology to
medical devices that improve patients' quality of life. Our corporate
headquarters are in Plainsboro, New Jersey, and we have manufacturing and
research facilities located throughout the world. We have approximately 850
permanent employees. Please visit our Website at (http://www.Integra-LS.com).

This news release contains forward-looking statements within the meaning of the
Private Securities Litigation Reform Act of 1995. Forward-looking statements
include, but are not limited to, statements concerning future financial
performance, including projections for revenues, gross margins, income tax
rates, earnings per share and cash flows and future acquisitions. Such
forward-looking statements involve risks and uncertainties that could cause
actual results to differ materially from predicted or expected results. Among
other things, our ability to maintain relationships with customers of acquired
entities, physicians' willingness to adopt our recently launched and planned
products and our ability to secure regulatory approval for products in
development may adversely affect our future product revenues; our ability to
increase sales and product volumes may adversely affect our future gross
margins; the geographic mix of our taxable income may adversely affect our
income tax rates; our ability to integrate acquired businesses, increase product
sales and gross margins, and control non-product costs may affect our earnings
per share; our future net income results and our ability to effectively manage
working capital may affect our future cash flows; and our ability to complete
required pre-closing conditions may affect our ability to close the Spinal
Specialties acquisition. In addition, the economic, competitive, governmental,
technological and other factors identified under the heading "Risk Factors"
included in the Business section of Integra's Annual Report on Form 10-K for the
year ended December 31, 2002 and information contained in subsequent filings
with the Securities and Exchange Commission could affect actual results.

Regulation G, "Conditions for Use of Non-GAAP Financial Measures," and other
provisions of the Securities Exchange Act of 1934, as amended, define and
prescribe the conditions for the use of certain non-GAAP financial information.
In this news release, we provide "growth in product revenues excluding private
label products, recently acquired product lines, and changes in foreign currency
exchange rates", "growth in product revenues excluding recently acquired product
lines and changes in foreign currency exchange rates", and "gross margin on
product revenues excluding inventory fair value purchase accounting
adjustments", all of which are non-GAAP financial measures. A reconciliation of
these non-GAAP financial measures to the most comparable GAAP measure is
provided in the tables of financial information contained at the end of this
news release.

These non-GAAP financial measures should not be relied upon to the exclusion of
GAAP financial measures. Management believes that these non-GAAP financial
measures are important supplemental information to investors which reflect an
additional way of viewing aspects of our operations that, when viewed with our
GAAP results and the accompanying reconciliations, provide a more complete
understanding of factors and trends affecting our ongoing business and
operations. Management strongly encourages investors to review our financial
statements and filed reports in their entirety and to not rely on any single
financial measure. Because non-GAAP financial measures are not standardized, it
may not be possible to compare these financial measures with other companies'
non-GAAP financial measures having the same or similar names.











                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION
                         CONSOLIDATED FINANCIAL RESULTS
                      (In thousands, except per share data)
                                   (UNAUDITED)


Statement of Operations Data:
                                                         Three Months                               Nine Months
                                                     Ended September 30,                        Ended September 30,
                                                       2003           2002                        2003            2002
                                                                                                     
Product revenue                                    $43,467         $29,231                    $119,834         $78,523
 Other revenue                                       3,591             973                       6,740           4,038
 Total revenue                                       47,058          30,204                     126,574          82,561

 Cost of product revenue                             18,870          12,611                      49,663          31,604
 Research and development                             2,616           4,667                       8,043           9,046
 Sales and marketing                                 10,090           6,720                      26,748          18,320
 General and administrative                           3,787           4,189                      13,357          10,045
 Amortization                                          773             425                       2,112           1,139
 Total costs and expenses                            36,136          28,612                      99,923          70,154

 Operating income                                    10,922           1,592                      26,651          12,407

 Interest (expense) income, net                        (188)            822                         390           2,808
 Other income (expense), net                           309               (11)                    1,109              21

 Income before income taxes                          11,043           2,403                      28,150          15,236

 Provision for income taxes                           4,210            840                      10,461           5,333

 Net income                                          $6,833          $1,563                     $17,689          $9,903

 Diluted earnings per share                           $0.23           $0.05                       $0.58           $0.32

 Diluted weighted average
    common shares outstanding                        30,286          30,654                      30,404          30,740




Condensed Balance Sheet Data:
                                                       September 30,               December 31,
                                                           2003                        2002
                                                                                
 Cash and marketable securities,
    Including non-current portion                        $ 209,070                 $ 132,311
 Accounts receivable, net                                   26,961                    19,412
 Inventory, net                                             38,395                    28,502
 Total assets                                              402,529                   274,668

 Current liabilities                                        32,443                    21,921
 Long-term debt                                            119,911                         -
 Total liabilities                                         155,474                    27,071

 Stockholders' equity                                      247,055                   247,597

Reconciliation of non-GAAP financial measures to the most comparable GAAP
measure:

A.   Growth in product revenues excluding private label products, recently
     acquired product lines, and changes in foreign currency exchange rates

     Excluding revenues attributable to private label product lines, product
     lines acquired since the beginning of the third quarter of 2002 and the
     effect of changes in foreign currency exchange rates, third quarter 2003
     product revenues increased by $4.2 million, or 19%, over the prior year
     period.


                                                       Quarter Ended           Increase
                                                       September 30,          (Decrease)
                                                     2003          2002        $        %
                                                   --------      --------   -------   -----
                                                                   ($ in thousands)
                                                                            
     Total product revenues, as reported           $ 43,467      $ 29,231   $14,236     49%
     Less: Product revenues acquired in 2003          7,719           --      7,719     N/A
           Product revenues acquired in 2002          5,124         2,533     2,591    102%
           Impact of changes in foreign
              currency exchange rates                   362           --        362     N/A
           Private label product revenues(1)          4,419         5,062      (643)   (13%)
                                                   --------      --------   -------   -----
     Product revenues excluding acquired products,
           changes in foreign currency exchange
           rates and private label products        $ 25,843      $ 21,636   $ 4,207     19%


(1) Excludes private label product revenues already reported in "Product
revenues acquired in 2002"

B. Growth in product revenues excluding recently acquired product lines and
changes in foreign currency exchange rates

     Excluding recently acquired product lines and changes in foreign currency
     exchange rates, third quarter 2003 product revenues increased by $3.6
     million, or 13%, over the prior year period, notwithstanding the decline in
     private label product revenues.


                                                       Quarter Ended           Increase
                                                       September 30,          (Decrease)
                                                     2003          2002        $        %
                                                   --------      --------   -------   -----
                                                                 ($ in thousands)
                                                                            
     Total product revenues, as reported           $ 43,467      $ 29,231   $14,236     49%
     Less: Product revenues acquired in 2003          7,719           --      7,719     N/A
           Product revenues acquired in 2002          5,124         2,533     2,591    102%
           Impact of changes in foreign
              currency exchange rates                   362           --        362     N/A
                                                   --------      --------   -------   -----
     Product revenues excluding acquired products
           and changes in foreign currency
           exchange rates                          $ 30,262      $ 26,698   $ 3,564     13%








C. Gross margin on product revenues excluding inventory fair value purchase
accounting adjustments

     Excluding inventory fair value purchase accounting adjustments, our gross
margin on product revenues would have been 58%.



                                                                   Three Months Ended
                                                                   September 30, 2003
                                                                      -------------
                                                                    ($ in thousands)
                                                                         

     Total cost of product revenues, as reported                         $ 18,870
     Less: Inventory fair value purchase accounting adjustments               401
                                                                         --------
     Total cost of product revenues excluding inventory fair
           value purchase accounting adjustments                         $ 18,469


     Total product revenues, as reported                                 $ 43,467
     Less: Total cost of product revenues, as reported                     18,870
                                                                         --------
     Gross margin on product revenues, as reported                         24,597
     Gross margin as % of product revenues, as reported                       57%

     Total product revenues, as reported                                 $ 43,467
     Less: Total cost of product revenues excluding inventory fair
           value purchase accounting adjustments                           18,469
                                                                         --------
     Gross margin on product revenues, adjusted to exclude inventory
           fair value purchase accounting adjustments                      24,998
     Gross margin as % of product revenues, adjusted to exclude inventory
           fair value purchase accounting adjustments                         58%


Source: Integra LifeSciences Holdings Corporation