EXHIBIT 32.1

                            CERTIFICATION PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

         In connection with the Annual Report of Transax International Limited
(the "Company") on Form 10-K for the period ended December 31, 2008 as filed
with the Securities and Exchange Commission on the date hereof (the "Report"),
I, Stephen Walters, chief executive officer of the Company, certify, pursuant to
18 U.S.C. section 1350 of the Sarbanes-Oxley Act of 2002, that:

         (1)      The Report fully complies with the requirements of section
                  13(a) or 15(d) of the Securities Exchange Act of 1934; and

         (2)      The information contained in the Report fairly presents, in
                  all material respects, the financial condition and results of
                  operations of the Company.

/s/ Stephen Walters
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Stephen Walters
Chief Executive Officer
April 15, 2009