FIRST AMENDMENT TO INTEGRA LIFESCIENCES HOLDINGS CORPORATION PERFORMANCE INCENTIVE COMPENSATION PLAN

THIS FIRST AMENDMENT TO INTEGRA LIFESCIENCES HOLDINGS CORPORATION PERFORMANCE INCENTIVE COMPENSATION PLAN (this “First Amendment”), dated as of February 15, 2017, is made and adopted by the Compensation Committee of the Board of Directors (the “Committee”) of Integra Lifesciences Holdings Corporation, a Delaware corporation (the “Corporation”). Capitalized terms used but not otherwise defined herein shall have the respective meanings ascribed to them in the Plan (as defined below).

WHEREAS, the Corporation maintains the Integra Lifesciences Holdings Corporation Performance Incentive Compensation Plan (the “Plan”);

WHEREAS, pursuant to Section 7.1 of the Plan, the Plan may be amended at any time by action of the Committee; and

WHEREAS, the Corporation desires to amend the Plan to increase the maximum bonus opportunity for executive officers.

NOW, THEREFORE, BE IT RESOLVED, that the Plan is hereby amended as set forth herein.

“Notwithstanding the foregoing, in no event shall the amount of a Bonus for an executive officer exceed 200% of such executive officer’s Target Bonus.”

I hereby certify that the foregoing First Amendment was duly adopted by the Compensation Committee of the Board of Directors of Integra Lifesciences Holdings Corporation on February 15, 2017.

Executed on this 15^th day of February, 2017.