A drill guide system is provided having a source for x-ray radiation along with a receiver to generate a visible image of the radiation. A bone with an intramedullary nail is located between the source and receiver. A drill with a passage transmits x-ray radiation from the source through a drill bit that then passes through the bone and nail. The user guides the drill bit using an image on the receiver. When the user lines up the drill with a hole in the nail, the alignment is visible on the receiver.
