EXHIBIT 4.1

                       AMENDMENT NO. 1 TO RIGHTS AGREEMENT

         Amendment No. 1 to the Rights Agreement, dated as of June 13, 1999, by
and between Maxxim Medical, Inc., a Texas corporation (the "Company"), and
Harris Trust and Savings Bank, an Illinois banking corporation (the "Rights
Agent"), at the Company's direction.

                              W I T N E S S E T H :

         WHEREAS, on July 10, 1997 the Company and the Rights Agent entered into
a Rights Agreement (the "Agreement"), the terms of which are incorporated herein
by reference and made a part hereof;

         WHEREAS, on June 13, 1999, the Board of Directors of the Company
determined to amend the Agreement and directed the Rights Agents to enter this
Amendment.

         NOW, THEREFORE, in consideration of the premises and mutual agreements
herein set forth, and intending to be legally bound hereby, the parties hereto
agree that the Agreement shall be and hereby is amended in the following manner:

         Section 1.  AMENDMENT OF "CERTAIN DEFINITIONS".

         (a) Section 1(j) of the Agreement is amended by deleting such section
in its entirety.

         (b) Section 1(m) is hereby amended by deleting in its entirety the
first parenthetical clause therein which reads "(or such later date as may be
determined by action of a majority of Continuing Directors then in office)" and
by replacing all other references therein to the clause "Continuing Directors"
by the clause "members of the Board of Directors of the Company".

         (c) Section 1(u) is hereby amended to read in its entirety as follows:

         "Permitted Offer" shall mean a tender offer for all outstanding Common
         Shares made in the manner prescribed by Section 14(d) of the Exchange
         Act and the rules and regulations promulgated thereunder; PROVIDED,
         HOWEVER, that members of the Board of Directors then in office have
         unanimously determined that the offer is both adequate and otherwise in
         the best interests of the Company and its shareholders (taking into
         account all factors that the members of the Board of Directors deem
         relevant).

         Section 2. AMENDMENT OF "ISSUANCE OF RIGHTS CERTIFICATES". Section 3(a)
of the Agreement is hereby amended to add the following paragraph at the end
thereof:

         "Notwithstanding any other provision of this Agreement, the occurrence
         of (A) the approval, execution and delivery of the Agreement and Plan
         of Merger, dated as of June 13, 1999 (as it may be amended from time to
         time, the "Merger



         Agreement"), by and between Fox Paine Medic Acquisition Corporation, a
         Texas corporation("FP Acquisition") which is affiliated with Fox Paine
         & Company, LLC ("Fox Paine"), and the Company, and the Voting
         Agreements by and between FP Acquisition and certain officers and
         directors of the Company (as such agreements may be amended from time
         to time, the "Voting Agreements"), (B) the consummation of the
         transactions contemplated by the Merger Agreement or the Voting
         Agreements or (C) the announcement of any of the foregoing events will
         not, individually or collectively, cause (i) FP Acquisition, Fox Paine
         and their Affiliates and Associates, either individually or as a group,
         to be deemed an Acquiring Person, (ii) the Rights to become exercisable
         or (iii) the occurrence of a Distribution Date, a Triggering Event or a
         Shares Acquisition Date."

         Section 3. AMENDMENT OF "REDEMPTION". Section 19(a) of the Agreement is
hereby amended to read in its entirety as follows:

         "The Company may, at its option and with the approval of the Board of
         Directors, at any time prior to the Close of Business on the earlier of
         (i) the tenth day following the Shares Acquisition Date or such later
         date as may be determined by unanimous action of the members of the
         Board of Directors then in office and publicly announced by the Company
         and (ii) the Final Expiration Date, redeem all but not less than all
         the then outstanding Rights at a redemption price of $0.01 per Right,
         appropriately adjusted to reflect any stock split, stock dividend or
         similar transaction occurring after the date hereof (such redemption
         price being herein referred to as the "Redemption Price") and the
         Company may, at its option, pay the Redemption Price either in Common
         Shares (based on the Current Per Share Market Price thereof at the time
         of redemption) or cash. Such redemption of the Rights by the Company
         may be made effective at such time, on such basis and with such
         conditions as the Board of Directors in its sole discretion may
         establish; PROVIDED, HOWEVER, if the Board of Directors of the Company
         authorizes redemption of the Rights on or after the time a Person
         becomes an Acquiring Person, then such authorization shall require the
         unanimous concurrence of the members of the Board of Directors then in
         office. The date on which the Board of Directors elects to make the
         redemption effective shall be referred to as the "Redemption Date."

         Section 4. AMENDMENT OF "EXCHANGE". Section 20(a) of the Agreement is
hereby amended by replacing the clause "by majority vote of the Board of
Directors and a majority vote of the Continuing Directors" with the clause "by
unanimous vote of the Board of Directors".

         Section 5. AMENDMENT OF "SUPPLEMENTS AND AMENDMENTS". Section 23 of the
Agreement is hereby amended by replacing clause (iii) therein in its entirety to
read as follows:

         "(iii) shorten or lengthen any time period hereunder (which shortening
         or lengthening shall require the unanimous concurrence of the members
         of the Board of Directors then in office)"

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         Section 6. AMENDMENT OF "DETERMINATIONS AND ACTIONS BY THE BOARD OF
DIRECTORS, ETC.". Section 25 of the Agreement is hereby amended by deleting in
its entirety the parenthetical clause "(or, where specifically provided for
herein, the Continuing Directors)" and the clause "or the Continuing Directors"
wherever such clauses appear in such Section 25.

         Section 7. RIGHTS AGREEMENT AS AMENDED. The term "Agreement" as used in
the Agreement shall be deemed to refer to the Agreement as amended hereby and
shall be effective as of the date hereof. It is expressly understood and agreed
that except as provided above, all terms, conditions and provisions contained in
the Agreement shall remain in full force and effect without any further change
or modification whatsoever.

         IN WITNESS WHEREOF, the parties have caused this Amendment No. 1 to be
duly executed and their respective corporate seals to be hereunto affixed and
attested, all as of the day and year first above written.

Attest:                               MAXXIM MEDICAL, INC.

By: /s/ DONALD R. DEPRIEST            By: /s/ KENNETH W. DAVIDSON
   ----------------------------          ------------------------
    Name: Donald R. DePriest             Name:  Kenneth W. Davidson
    Title: Director                      Title: Chairman, President and
                                                Chief Executive Officer

Attest:                               HARRIS TRUST AND SAVINGS BANK,
                                                as Rights Agent

By: /s/ BERNETTA YOUNG-GRAY           By: /s/ LORRAINE RODEWALD
   ---------------------------           ------------------------
   Name:  Bernetta Young-Gray            Name:  Lorraine Rodewald
   Title: Trust Officer                  Title: Vice President

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