I've imported a mesh to blender and it's not aligned to the world so to speak and I need the symmetry. How do I get rid of that rotation?.

You can hit CTRL+ALT+Q to toggle quad view mode, showing your model along all major axes.
From there, you can rotate with r for manual corrections. For finer control, hold Shift while you rotate.
Edit: An alternative method to ensure a symmetric mesh when you're done:
Not sure how this will differ from what you described in your comment, but it's an option
You can do this with Mesh Align Plus (my addon). After installing the addon, either watch the steps in the GIF or read the text version below:
The feature you're looking for is the Quick Align Planes operator in the 3D View > Tools Panel (T) > Mesh Align Plus Tab, in its own panel.
1. Pick a destination target (stationary plane that you're aligning to)
2. Pick a source target (plane that will be aligned with the destination)
3. Apply the operation