Aspects of the present disclosure involve systems, methods, computer program products for customized arthroplasty cutting guides or jigs. In particular, the present disclosure provides for a method of creating a customized arthroplasty cutting jig from one or more two-dimensional (2D) images of the patients joint. The method includes receiving the 2D images of the joint from an imaging device, reformatting the images, and creating a customized jig template from the images. One or more landmarks are electronically marked on one or more of the series of 2D images of the patients joint through a computing device. Once the template for the cutting jig is created utilizing one or more of the electronic markers on the 2D images, a cutting or milling program is generated by the computing device that may then be provided to a milling machine to create the cutting jig corresponding to the milling program.
