The invention relates to a surgical guide for receiving and guiding a surgical instrument, the guide including； an elongate body extending from a proximal end to a distal end, the elongate body including at least one aperture for receiving and guiding the surgical instrument； at least one positioning mechanism, the positioning mechanism adapted to be directly or indirectly connected to the body and adapted to engage or abut an anatomical location of a patient on which the guide is to be used. The guide is particularly useful in aiding canine tibial tuberosity advancement procedures.
