A system and method for creating customized anatomical implant prosthetic pieces that includes an x-ray computed tomography, a computer aided design component, and a computer aided manufacturing component. The method includes the steps of taking a tomographic image of an individual, generating a three-dimensional virtual anatomical model using the tomographic image, designing a three-dimensional virtual anatomical template using the three-dimensional virtual anatomical model, generating final information using the three-dimensional anatomical template, and generating a customized, patient-specific prosthetic piece from a solid block of material using the final information. The system and method of the present invention is fully performed and the prosthetic piece implanted into the patient within one office visit.