August 1, 2024

Haimei Wu
Chief Executive Officer
Baird Medical Investment Holdings Limited
Room 202, 2/F, Baide Building, Building 11, No.15
Rongtong Street, Yuexiu District, Guangzhou, People's Republic of China

       Re: Baird Medical Investment Holdings Limited
           Amendment No. 5 to Registration Statement on Form F-4
           Filed July 19, 2024
           File No. 333-274114
Dear Haimei Wu:

     We have reviewed your amended registration statement and have the 
following
comments.

       Please respond to this letter by amending your registration statement 
and providing the
requested information. If you do not believe a comment applies to your facts 
and circumstances
or do not believe an amendment is appropriate, please tell us why in your 
response.

       After reviewing any amendment to your registration statement and the 
information you
provide in response to this letter, we may have additional comments. Unless we 
note otherwise,
any references to prior comments are to comments in our July 8, 2024 letter.

Amendment No. 5 to Form F-4 filed July 19, 2024
Enhanced Research and Development Capabilities through Collaboration with 
Market
Participants, page 271

1.     We note your revised disclosure on pages 271 and 291 that you hold two 
Class III
       registration certificates you hold for the microwave therapeutic 
instrument and accessories
       and disposable microwave ablation needle, the Class III certificate you 
recently obtained
       for MWA needles and one Class II registration certificate in relation to 
disposable sterile
       biopsy needles. Please revise to clarify, if true, that the two Class 
III registration
       certificates you currently hold for your microwave therapeutic 
instrument and disposable
       microwave ablation needles include the Class III certificate you 
recently obtained for
       MWA needles in July 2023. We refer to your CFDA 20183011581 and 
20233010963
       registration certificate numbers, respectively.
 August 1, 2024
Page 2
Customers, page 290

2.     We acknowledge your revised disclosure in response to prior comment 8. 
Please revise
       your disclosure to address the following issues:

             Please disclose when you entered into this agreement with the Top 
Distributor and the
           term of the agreement. We refer to section 18 of the agreement, 
which states that the
           agreement expired on December 31, 2023. Please confirm whether you 
have entered
           into a supplementary agreement with the Top Distributor to renew the 
distribution
           agreement, and if so, please file any such agreement as an exhibit 
to the registration
           statement as required by Item 21 of Form F-4 and Item 601(b)(10) of 
Regulation S-K
           and revise your disclosure accordingly; and

             We note that certain portions of Exhibit 99.9 have been redacted. 
Please include a
           statement at the top of the first page of such redacted exhibit 
stating that certain
           information has been excluded because it is both not material and 
the type of
           information that the registrant treats as private or confidential 
and also ensure that
           such exhibit is in the proper text-searchable format. Refer to Item 
601(b)(10)(iv) of
           Regulation S-K and Item 301 of Regulation S-T.
Pubco's Management's Discussion and Analysis of Financial Condition and Results 
of
Operations, page 341

3.     We note your response to comment 10. Please address the following:
           Pursuant to Item 5A of the Form 20-F, please disclose the specific 
significant factors
          that materially impacted revenues in a similar manner to your 
response with
          quantification regarding the extent to which revenues were impacted. 
You should
          specifically discuss the extent to which fluctuations in revenues 
were attributable to
          changes in prices, changes in the volume or amount of products being 
sold, or to the
          introduction of new products; and
           In light of the limitations you note regarding your distributor 
inventory reports, please
          help us better understand your basis for stating that you are not 
aware of any material
          amount of unsold inventory held by your deliverers and its 
distributors, including how
          you determined what would be material.
The Aging of Accounts Receivable, page 349

4.     We note your responses to comments 13 and 14 and the corresponding 
expanded
       disclosures. Specifically you refer to customers being contractually 
entitled to a credit
       period of 30 to 90 days, but in practice, you may, on a case-by-case 
basis, approve an
       extended credit period upon request. Given that the approval of an 
extended credit period
       appears to not be as infrequent as your disclosures indicate, we 
continue to believe that
       additional quantitative disclosures should be provided regarding your 
actual collection
       period for your receivables. For example, an analysis of days sales 
outstanding or other
       quantitative analysis could be helpful along with clear disclosure of 
how these
       calculations are determined. Include the information in your response to 
comment 14 in
       the disclosure on page 350. We also note your continued reference to the 
impact of the
       COVID-19 outbreak. Please further clarify in your disclosures why and 
how you are
 August 1, 2024
Page 3

       continuing to be impacted by this outbreak in recent periods. Also, 
please expand your
       disclosure to explain why you have any outstanding receivables from 
distributors given
       the provision in Section 6.2 of the Distribution Agreement in Exhibit 
99.9 that products
       are not shipped to the distributor until after you have received 
payment.
5.     Please provide us with a rollforward of your Accounts Receivable 
balances from
       December 31, 2022 to December 31, 2023 which separately shows all 
significant activity
       in these balances including the impact of revenue, VAT, and actual 
collections.
       Please contact Nudrat Salik at 202-551-3692 or Al Pavot at 202-551-3738 
if you have
questions regarding comments on the financial statements and related matters. 
Please contact
Jane Park at 202-551-7439 or Lauren Nguyen at 202-551-3642 with any other 
questions.



                                                           Sincerely,

                                                           Division of 
Corporation Finance
                                                           Office of Industrial 
Applications and
                                                           Services
cc:   Stephen Leitzell, Esq.