Wrists implants and methods are disclosed. A wrist implant can advantageously allow motion with respect to a reconstructed wrist to more closely resemble natural motion. For example, in one aspect, motion can include movement in more than one direction to allow for flexion/extension, rotational, and translational movement. The wrist implant can include a radial implant component and/or a carpal implant component with a bearing component or member disposed therebetween. The radial implant can have a radial articulation surface having at least one variable radius of curvature and/or a tray having a variable width.