July 17, 2024

Julie Andrews
Chief Financial Officer
Orthofix Medical Inc.
3451 Plano Parkway
Lewisville, Texas 75056

       Re: Orthofix Medical Inc.
           Form 10-K For the fiscal year ended December 31, 2023
           Filed March 5, 2024
           File No. 000-19961
Dear Julie Andrews:

       We have limited our review of your filing to the financial statements 
and related
disclosures and have the following comments.

       Please respond to this letter within ten business days by providing the 
requested
information or advise us as soon as possible when you will respond. If you do 
not believe a
comment applies to your facts and circumstances, please tell us why in your 
response.

       After reviewing your response to this letter, we may have additional 
comments.

Form 10-K For the fiscal year ended December 31, 2023
Consolidated Financial Statements
16. Business Segment Information, page F-31

1.     Please remove your non-GAAP measure Consolidated adjusted EBITDA from 
your
       segment footnote, and provide a reconciliation that complies with ASC 
280-10-50-
       30(b), in future filings. In this regard, please provide a total of your 
two reportable
       segments' measures of profit and loss and reconcile it to your loss 
before income taxes.
       Also refer to Rule 10(e)(1)(ii)(C) of Regulation S-K.

2.     As a related matter, please remove your non-GAAP measure from the 
Segment Review
       section in MD&A. In addition, if you elect to present your non-GAAP 
measure
       Consolidated adjusted EBITDA in your filing, please start your 
reconciliation with loss
       before income taxes, the GAAP measure, and end the reconciliation with 
Consolidated
       adjusted EBITDA. Refer to Non-GAAP Financial Measures Compliance & 
Disclosure
       Interpretations Question 102.10(a).
 July 17, 2024
Page 2

       In closing, we remind you that the company and its management are 
responsible for the
accuracy and adequacy of their disclosures, notwithstanding any review, 
comments, action or
absence of action by the staff.

       Please contact Michael Fay at 202-551-3812 or Li Xiao at 202-551-4391 
with any
questions.



                                                          Sincerely,

                                                          Division of 
Corporation Finance
                                                          Office of Industrial 
Applications and
                                                          Services