An apparatus (100) for guiding a surgical needle, such as a biopsy needle, improved accuracy of angle of entry of the needle into a patient’s torso at any angle of incline in an axial plane and in a cranio-caudal plane thereby providing a less invasive procedure to the patient by reducing the need for multiple needle entries and reducing radiation exposure dose. The apparatus (100) comprises a base (1) configured for placement of the guide device apparatus (100) on a patient; an arm (2) attached to the needle guide support (3) at one end and attached to a first arc member (4) at a distal end; a needle guide support (3) configured for attachment of a surgical needle guide (5) for the surgical needle; a second arc member (6) attached to the base (1) and an angle marking device (7) attached to the arm (2) to indicate a vertical reference point for measuring the angle of tilt of the arm (2) from the vertical reference point relative to the base (1). Wherein the first arc member (4) is attached to and configured to move on the second arc member (6) to facilitate movement of the needle guide support (3) in a cranio-caudal plane and the arm (2) is attached to and configured to move on the first arc member (4) to facilitate movement of the needle guide support (3) in an axial plane.