A prosthetic hip alignment apparatus includes a medical instrument (20) comprising a mount attachable to a bone and first (22), second (30), third (40) and fourth (60) members. Adjacent ones of the first, second, third and fourth members are rotatable with respect to each other about a first axis, and between one of the first to fourth members and another means permitting rotation about second and third axes is provided. One of the member mounts a level (64) and wherein one of said members mounts direction indicator (65).