An apparatus (100) for guiding a surgical needle with improved accuracy. The apparatus (100) having a base (1) for positioning the apparatus (100) on a patient; a second arc member (6) attached to the base (1); a first arc member (4) moveably attached to the second arc member (6); an arm (2) attached to a needle guide support (3) at one end and moveably attached to the first arc member (4) at a distal end, and an angle marking device (7) attached to the arm (2) to indicate a vertical reference point for measuring the angle of tilt of the arm (2) from the vertical reference point relative to the base (1). Wherein the first arc member (4) is configured to move on the second arc member (6) to facilitate movement of the needle guide support (3) in a cranio-caudal plane and the arm (2) is configured to move on the first arc member (4) to facilitate movement of the needle guide support (3) in an axial plane.