An apparatus for placement of an optical marker for radiotherapy onto a surface, wherein the optical marker has a reflective element positioned on a body having an outline and shaped and configured such that the reflective element is in a predetermined position relative to the outline of the body, the apparatus comprising a sheet of material having a hole therethrough which is shaped and configured to conform to the outline of the body and which has an upper surface with markings thereon configured for aligning with an image projected onto the surface on which the optical marker is to be placed.
