Methods and devices are provided for providing direction to surgical tools. In one embodiment, a surgical device can include a cannulated elongate shaft with a cannulated curved distal tip. The device can be configured to be introduced into a body of a patient, and one portion of the device can be configured to be positioned on a proximal side of a tissue wall and a distal-most portion of the device including at least a portion of the curved distal tip can be configured to be positioned on the other, distal side of the tissue wall. A surgical tool can be configured to be advanced through the device to pass the surgical tool through the tissue wall with the curved distal tip providing direction for the surgical tool.
