Certain embodiments of the present invention provide systems and methods for implant distance measurement. Certain embodiments of a method provide determining a tool trajectory, comparing the trajectory to one or more measured distances stored in memory to identify a requested distance measurement, and indicating the requested distance measurement to a user based on a matched trajectory. Certain embodiments of a system provide a processor configured to determine a tool trajectory with respect to a region of interest. The processor compares the trajectory to one or more measured distances between implants stored in memory to identify a requested distance measurement. The system also includes a display configured to display an image including the implants and the requested distance measurement to a user.