The present invention relates to pairing an anatomy representation with live images. In order to provide an enhanced and more flexible pairing of an anatomy representation with live images, for pairing an anatomy representation with live images, reference projected-anatomy image data of a device in a spatial relation to the anatomy is provided (100), wherein the image data comprises at least a first and second image showing the device from different viewing angles. Further, an anatomy representation with an anatomy frame of reference is provided (200). The anatomy representation is brought (300) into spatial coherence with the at least first and second image of the reference projected anatomy image data. A three-dimensional model of the device within the anatomy frame of reference is computed (400) from the projected anatomy image data. At least one live image is provided (500) containing the device. The model and the at least one live image are registered (600) based on the device information contained in the live image. The anatomy representation is brought (700) into spatial correspondence with the at least one live image based on the registering of the model and the at least one live image. The registered anatomy is combined (800) with the at least one live image.