A biopsy device comprises a housing, a needle, a cutter, and an integral needle tip protector. The integral needle tip protector comprises a cover that translates relative to the housing to selectively shield all or a portion of the needle to protect a user from contact with the sharp needle and to prevent the needle from damage during handling. The integral needle tip protector may be used to shield the needle before and/or after a biopsy procedure. The integral needle tip protector is designed such that it can be controlled with the users hands remaining proximal from the distal end of the needle. In some versions, the integral needle tip protector is designed with an unfolding distal portion unfold or resiliently expanding distal portion.