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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                   FORM 10-K/A
                                 AMENDMENT NO. 1

                  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

                   For the Fiscal Year Ended December 31, 2003

                         Commission File Number: 0-24866

                         MICROTEK MEDICAL HOLDINGS, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)



                                                               
                            GEORGIA                                                            58-1746149
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 (STATE OR OTHER JURISDICTION OF INCORPORATION OR ORGANIZATION)               (I.R.S. EMPLOYER IDENTIFICATION NO.)

               13000 DEERFIELD PARKWAY, SUITE 300
                      ALPHARETTA, GEORGIA                                                    30004
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            (ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)                                       (ZIP CODE)


                                 (662) 327-1863
               REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE

           SECURITIES REGISTERED PURSUANT TO SECTION 12(B) OF THE ACT:
                                      NONE

           SECURITIES REGISTERED PURSUANT TO SECTION 12(G) OF THE ACT:
                     COMMON STOCK, $.001 PAR VALUE PER SHARE
                              STOCK PURCHASE RIGHTS

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the  preceding 12 months (or for such  shorter  period that the  registrant  was
required  to file  such  reports),  and  (2) has  been  subject  to such  filing
requirements for the past 90 days.

                                 Yes [X] No [_]

Indicate by check mark if disclosure of delinquent  filers  pursuant to Item 405
of Regulation  S-K is not contained  herein,  and will not be contained,  to the
best of registrant's  knowledge,  in definitive proxy or information  statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K.

Indicate  by check mark  whether  the  registrant  is an  accelerated  filer (as
defined in Rule 12b-2 of the Act).

                                 Yes [X] No [_]

The  aggregate  market  value of voting and  non-voting  common  equity  held by
nonaffiliates  of the  registrant  based on the sale  price at which the  common
equity was last sold as reported on The Nasdaq Stock Market as of June 30, 2003,
was approximately $83.2 million. For purposes of this computation, all officers,
directors  and  5%  beneficial  owners  of  the  registrant  are  deemed  to  be
affiliates.  Such  determination  should  not be deemed an  admission  that such
officers,  directors or 5%  beneficial  owners are, in fact,  affiliates  of the
registrant.

At March 5, 2004, there were outstanding  42,915,912  shares of the registrant's
common stock, $.001 par value per share.

Documents  incorporated  by  reference:   Portions  of  the  Registrant's  proxy
statement  relating to the 2004 Annual Meeting of Shareholders  are incorporated
into Part III of this Form 10-K.





     Note:  This  Amendment  No. 1 on Form  10-K/A is filed for the  purpose  of
clarifying the disclosure contained at Item 9A of the Annual Report for the year
ending December 31, 2003,  concerning the conclusions of the Company's President
and Chief Executive  Officer and its Chief Financial  Officer that the Company's
disclosure  controls and procedures  are effective at the  reasonable  assurance
level as more particularly described below in this Amendment No. 1.

     ITEM 9A. CONTROLS AND PROCEDURES

     (a) Evaluation of disclosure controls and procedures. Under the supervision
and with the participation of the Company's management,  including the Company's
President  and Chief  Executive  Officer and its Chief  Financial  Officer,  the
Company carried out an evaluation (the "Evaluation") of the effectiveness of the
Company's  "disclosure  controls and  procedures"  (as defined in the Securities
Exchange Act of 1934 Rules 13a-15(e) and 15d-15(e)).  Based upon the Evaluation,
the Company's  President  and Chief  Executive  Officer and its Chief  Financial
Officer have concluded that the Company's disclosure controls and procedures are
effective at the reasonable  assurance level as of the end of the year for which
this  report  is being  filed to  ensure  that (i)  information  required  to be
disclosed  by the  Company  in  reports  that it  files  or  submits  under  the
Securities Exchange Act of 1934 is recorded, processed,  summarized and reported
within the time  periods  specified  in the SEC's  rules and forms and (ii) such
information  is  accumulated  and  communicated  to  the  Company's  management,
including the  Company's  President  and Chief  Executive  Officer and its Chief
Financial Officer, as appropriate,  to allow timely decisions regarding required
disclosure.

     The Company is committed to a continuing process of identifying, evaluating
and implementing  improvements to the effectiveness of the Company's  disclosure
and internal controls and procedures.  The Company's  management,  including its
President and Chief Executive Officer and its Chief Financial Officer,  does not
expect that the Company's  controls and  procedures  will prevent all errors.  A
control  system,  no matter how well  conceived and  operated,  can provide only
reasonable,  not absolute,  assurance  that the objectives of the control system
are  met.  Because  of the  inherent  limitations  in all  control  systems,  no
evaluation of controls can provide  absolute  assurance  that all control issues
within the Company have been detected.  These inherent  limitations  include the
realities that judgments in  decision-making  can be faulty and that  breakdowns
can occur  because of a simple error or mistake.  Additionally,  controls can be
circumvented by the individual acts of some persons, by collusion of two or more
people,  or by management  override of the control.  The design of any system of
controls is also based in part upon certain  assumptions about the likelihood of
future  events,  and there can be no  assurance  that any design will succeed in
achieving its stated goals under all  potential  future  conditions.  Over time,
controls may become inadequate  because of changes in conditions,  or the degree
of compliance  with the policies or procedures may  deteriorate.  Because of the
inherent  limitations  in any  control  system,  misstatements  due to  error or
violations  of law may occur and not be  detected.  The  Company  has,  however,
designed its disclosure  controls and  procedures to provide,  and believes that
such controls and procedures do provide,  reasonable  assurance that information
required  to be  disclosed  by the  Company in reports  that it files or submits
under the Securities Exchange Act of 1934 is recorded, processed, summarized and
reported  within the time periods  specified  in the SEC's rules and forms.  The
disclosure in this paragraph about inherent  limitations of control systems does
not modify the conclusions set forth in the immediately  preceding  paragraph of



the Company's  President  and Chief  Executive  Officer and its Chief  Financial
Officer  concerning the effectiveness of the Company's  disclosure  controls and
procedures.

     (b)  Changes in internal  controls.  There have not been any changes in the
Company's  internal controls over financial  reporting  identified in connection
with the Evaluation that occurred  during the Company's  quarter ending December
31, 2003 that has  materially  affected or is  reasonably  likely to  materially
affect the Company's internal controls.

                                     PART IV

ITEM 15.  EXHIBITS,  FINANCIAL  STATEMENTS,  FINANCIAL  STATEMENT  SCHEDULES AND
REPORTS ON FORM 8-K

     (a) (1)   Financial Statements:

               The  following  financial  statements  are  filed as part of this
               annual report.
                    Consolidated Financial Statements and Independent  Auditors'
                         Report:
                    Independent Auditors' Reports
                    Consolidated Balance Sheets as of December 31, 2003 and 2002
                    Consolidated  Statements  of  Operations  and  Comprehensive
                         Income for the years ended December 31, 2003,  2002 and
                         2001
                    Consolidated  Statements of Changes in Shareholders'  Equity
                         for the years ended December 31, 2003, 2002 and 2001
                    Consolidated  Statements  of Cash Flows for the years  ended
                         December 31, 2003, 2002 and 2001
                    Notes to the Consolidated Financial Statements

         (2)   Financial Statement Schedules:

               The  following  financial  statement schedule is filed as part of
                    this annual  report:  Schedule II - Valuation and Qualifying
                    Accounts

Other  schedules are omitted  because they are not  applicable,  not required or
because  required   information  is  included  in  the  consolidated   financial
statements or notes thereto.

(3)(a)    Exhibits
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2.1       Stock Purchase Agreement dated June 10, 1999, between Premier Products
          LLC and Isolyser Company,  Inc.  (incorporated by reference to Exhibit
          2.1 to the Company's Current Report on Form 8-K filed July 13, 1999).
2.2       Asset Purchase  Agreement dated as of May 25, 1999,  among  Allegiance
          Healthcare   Corporation   ("Allegiance"),    Isolyser   and   MedSurg
          (incorporated  by  reference to Exhibit 2.1 in the  Company's  Current
          Report on Form 8-K filed July 27, 1999).
2.3       First Amendment to Asset Purchase Agreement dated as of July 12, 1999,
          among Allegiance,  Isolyser and MedSurg  (incorporated by reference to
          Exhibit 2.2 in the Company's Current Report on Form 8-K filed July 27,
          1999).
2.4       Supply  and  License  Agreement  dated  as of July 12,  1999,  between
          Isolyser and Allegiance  (incorporated  by reference to Exhibit 2.3 in
          the Company's Current Report on Form 8-K filed July 27, 1999).
3.1       Articles of Incorporation of Isolyser Company,  Inc.  (incorporated by
          reference  to  Exhibit  3.1  filed  with  the  Company's  Registration
          Statement on Form S-1, File No. 33-83474).
3.2       Articles  of  Amendment  to  Articles  of  Incorporation  of  Isolyser
          Company, Inc. (incorporated by reference to Exhibit 3.2 filed with the
          Company's  Annual Report on Form 10-K for the period  ending  December
          31, 1996).
3.3       Amended and Restated Bylaws of Isolyser Company, Inc. (incorporated by
          reference to Exhibit 3.1 filed with the  Company's  Current  Report on
          8-K filed April 23, 2002).
4.1       Specimen  Certificate  of Common Stock  (incorporated  by reference to
          Exhibit 4.1 filed with the  Company's  Registration  Statement on Form
          S-1, File No. 33-83474).



4.2       Shareholder  Protection Rights Agreement dated as of December 20, 1996
          between  Isolyser  Company,  Inc. and SunTrust Bank  (incorporated  by
          reference to Exhibit 4.1 to the Company's  Current  Report on Form 8-K
          filed on December 20, 1996).
4.3       First Amendment to Shareholder Protection Rights Agreement dated as of
          October 14, 1997 between  Isolyser  Company,  Inc.  and SunTrust  Bank
          (incorporated  by  reference  to Exhibit 4.2 filed with the  Company's
          Current Report on Form 8-K/A filed on October 14, 1997).
4.4       Amended  and  Restated  Credit  Agreement  dated  as of May 14,  2001,
          between  the  Company  and  The  Chase   Manhattan   Bank,   as  Agent
          (incorporated  by reference to Exhibit 4.2 of the Company's  Quarterly
          Report on Form 10-Q filed August 14, 2001).
4.5       Second  Amendment  Agreement  dated as of September  30, 2002,  to the
          Amended  and  Restated  Credit  Agreement,  dated  as of May 14,  2001
          (incorporated by reference to Exhibit 10.1 of the Company's  Quarterly
          Report on Form 10-Q for the period ending September 30, 2002).
4.6       Fourth Amendment  Agreement dated as of March 31, 2003, to the Amended
          and Restated Credit Agreement,  dated as of May 14, 2001 (incorporated
          by reference to Exhibit 4.2 of the Company's  quarterly report on Form
          10-Q for the period ending March 31, 2003).
4.7       Fifth  Amendment  Agreement dated as of August 7, 2003, to the Amended
          and Restated Credit Agreement,  dated as of May 14, 2001 (incorporated
          by reference to Exhibit 4.2 of the Company's  quarterly report on Form
          10-Q for the period ending June 30, 2003).
4.8       Sixth Amendment and Waiver Agreement dated as of November 21, 2003, to
          the Amended and  Restated  Credit  Agreement  dated as of May 14, 2001
          (previously filed).
10.1      Stock   Option  Plan  and  First   Amendment   to  Stock  Option  Plan
          (incorporated  by  reference  to Exhibit 4.1 filed with the  Company's
          Registration Statement on Form S-8, File No. 33-85668).
10.2      Second  Amendment to Stock Option Plan  (incorporated  by reference to
          Exhibit 4.1 filed with the  Company's  Registration  Statement on Form
          S-8, File No. 33-85668).
10.3      Form  of  Third  Amendment  to  Stock  Option  Plan  (incorporated  by
          reference to Exhibit 10.37 filed with the  Company's  Annual Report on
          Form 10-K for the period ended December 31, 1994).
10.4      Form of Fourth  Amendment  to the Stock Option Plan  (incorporated  by
          reference to Exhibit 10.59 filed with the  Company's  Annual Report on
          Form 10-K for the period ended December 31, 1995).
10.5      Form  of  Fifth  Amendment  to  Stock  Option  Plan  (incorporated  by
          reference to Exhibit 10.5 filed with the  Company's  Annual  Report on
          Form 10-K for the period ended December 31, 1996).
10.6      Form of Incentive Stock Option Agreement pursuant to Stock Option Plan
          (incorporated  by  reference  to Exhibit 4.2 filed with the  Company's
          Registration Statement on Form S-8, File No. 33-85668).
10.7      Form of Non-Qualified  Stock Option Agreement pursuant to Stock Option
          Plan  (incorporated  by  reference  to  Exhibit  4.3,  filed  with the
          Company's Registration Statement on Form S-8, File No. 33-85668).
10.8      Form of  Indemnity  Agreement  entered  into  between  the Company and
          certain of its officers and  directors  (incorporated  by reference to
          Exhibit 10.45 filed with the Company's  Registration Statement on Form
          S-1, File No. 33-83474).
10.9      1999 Long-Term  Incentive Plan  (incorporated  by reference to Exhibit
          10(A) to the  Company's  Registration  Statement on Form S-8 (File No.
          333-89696).
10.10     Form of  Employment  Agreement  with  the  executive  officers  of the
          Company  (incorporated  by  reference  to Exhibit  10.2 filed with the
          Company's  Quarterly  Report  on  Form  10-Q  for  the  period  ending
          September 30, 2002).
10.11     Consulting  Agreement dated August ___, 2002, between Microtek Medical
          Holdings,  Inc.  and Gene R.  McGrevin  (incorporated  by reference to
          Exhibit 10.3 of the  Company's  Quarterly  Report on Form 10-Q for the
          period ending September 30, 2002).
21.1      Subsidiaries of the Company (incorporated by reference to Exhibit 21.1
          of the  Company's  Annual  Report  on Form  10-K  for the  year  ended
          December 31, 2002).
23.1      Consent of KPMG LLP (previously filed)
23.2      Consent of Deloitte & Touche LLP (previously filed)
31.1*     Certification of Chief Executive Officer
31.2*     Certification of Chief Financial Officer
32.1      Certification  pursuant  to Section 902 of the  Sarbanes-Oxley  Act of
          2002 (previously filed)
32.2      Certification  pursuant  to Section 902 of the  Sarbanes-Oxley  Act of
          2002 (previously filed)

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      *Filed herewith.



     (b) Reports on Form 8-K:

     On October 3, 2003,  the  Company  furnished  a current  report on Form 8-K
dated October 2, 2003 pursuant to Item 12 announcing  the Company's  anticipated
net revenues for the quarter and nine month period ended September 30, 2003.

     On November 5, 2003,  the  Company  furnished a current  report on Form 8-K
dated November 5, 2003 pursuant to Item 12 announcing  the Company's  results of
operations for the quarter ended September 30, 2003.

3(b)   Executive Compensation Plans and Arrangements.

1.   Stock Option Plan and First Amendment to Stock Option Plan (incorporated by
     reference to Exhibit 4.1 filed with the Company's Registration Statement on
     Form S-8, File No. 33-85668).

2.   Second Amendment to Stock Option Plan (incorporated by reference to Exhibit
     4.1 filed with the Company's  Registration  Statement on Form S-8, File No.
     33-85668).

3.   Form of Third Amendment to Stock Option Plan  (incorporated by reference to
     Exhibit 10.37 filed with the  Company's  Annual Report on Form 10-K for the
     period ended December 31, 1994).

4.   Form of  Fourth  Amendments  to the  Stock  Option  Plan  (incorporated  by
     reference to Exhibit 10.59 filed with the  Company's  Annual Report on Form
     10-K for the period ended December 31, 1995).

5.   Form of Fifth Amendment to Stock Option Plan  (incorporated by reference to
     Exhibit 10.5 filed with the  Company's  Annual  Report on Form 10-K for the
     period ended December 31, 1996).

6.   Form of  Incentive  Stock  Option  Agreement  pursuant to Stock Option Plan
     (incorporated  by  reference  to  Exhibit  4.2  filed  with  the  Company's
     Registration Statement on Form S-8, File No. 33-85668).

7.   Form of Non-Qualified  Stock Option Agreement pursuant to Stock Option Plan
     (incorporated  by  reference  to  Exhibit  4.3,  filed  with the  Company's
     Registration Statement on Form S-8, File No. 33-85668).

8.   Form of Indemnity Agreement entered into between the Company and certain of
     its  officers and  directors  (incorporated  by reference to Exhibit  10.45
     filed  with the  Company's  Registration  Statement  on Form S-1,  File No.
     33-83474).

9.   1999 Long-Term  Incentive Plan  (incorporated by reference to Exhibit 10(A)
     to the Company's Registration Statement on Form S-8, (File No. 333-89696).

10.  Form of Employment  Agreement  with the  executive  officers of the Company
     (incorporated  by  reference  to  Exhibit  10.2  filed  with the  Company's
     Quarterly Report on Form 10-Q for the period ending September 30, 2002).

11.  Consulting  Agreement  dated August ___,  2002,  between  Microtek  Medical
     Holdings,  Inc. and Gene R. McGrevin  (incorporated by reference to Exhibit
     10.3 of the Company's  Quarterly  Report on Form 10-Q for the period ending
     September 30, 2002).







                                   SIGNATURES

     Pursuant  to the  requirements  of  Section  13 or 15(d) of the  Securities
Exchange Act of 1934,  the  registrant has duly caused this amended report to be
signed on its behalf by the  undersigned,  thereunto duly authorized on March 4,
2005.

                                       MICROTEK MEDICAL HOLDINGS, INC.

                                       By:  /s/ Dan R. Lee
                                           -------------------------------------
                                           Dan R. Lee, Chairman, President and
                                           Chief Executive Officer