A computerized visual orientation surgery assist system and method receives initial anatomic image information of a patient scan, which may be taken at a registration position of the patient receives initial surgical instrument positional information from a first positional sensor positioned on a surgical instrument, where the positional sensor senses three-dimensional spatial position transmits the surgical instrument positional information establishes the initial surgical instrument positional information as a surgical instrument origin in three-dimensional space for the initial anatomic image information displays a visual representation of the initial anatomic image information on a computerized display, the visual representation including a surgical instrument representation based on the initial surgical instrument positional information receives subsequent surgical instrument positional information from the first sensor associated with movement of the surgical instrument and updates the computerized display to reflect the subsequent surgical instrument positional information.