A navigation and monitoring system to track positions of surgical components during surgery of a patient. Some embodiments include a power source to emit a tracking signal during surgery of the patient, a first sensor mounted to a region of the patient to respond to the emitted tracking signal, and a control unit to track a position of the region relative to a fixed region of the patient as the region moves with respect to the fixed region, based on the response of the first sensor. The system can calibrate and register a movable reference point of the patient relative to a fixed reference point, and can maintain that reference point when the movable reference point moves in space during a surgical process.