A device (10) which serves as a stiff guide wire for surgical procedures includes a tube (12) having an internal channel, and a central rod (14) in close-fitting sliding engagement within the tube. The tips of the tube and the central rod are in rigid mechanical engagement or interconnection. A region of the tube (12) is longitudinally slotted to form deflectable strips (18) so that advancing of the tube (12) relative to central the rod (14) causes outward deflection of the strips (18) to form an anchoring configuration. The central rod (14) and the tube (12) together define a stiff guide wire preferably having a length-to-width ratio in excess of 100:1.