An instrument use counter and related method are disclosed. The instrument use counter can include a tray, an instrument holder, an actuator, and a counter. The tray can include an instrument holder positioned on or above an upper surface of the tray. The instrument holder can be configured to retain at least one instrument. The actuator can be located in proximity to the instrument holder and can include a proximity sensor in electronic communication with the at least one instrument or a moveable member engageable with the at least one instrument during removal from, or receipt by, the instrument holder. The counter can be coupled to the tray, positioned above the upper surface, and operably coupled to the proximity sensor or the movable member of the actuator. The counter can include a numerical readout member that can track instrument use.