Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.本發明揭示用於修復關節表面修復材料及用於修復一關節表面的方法、組合物及工具。關節表面修復物可由患者訂製或有多樣選擇並適應於提供最佳配合和機能。外科工具經設計為可由患者訂製或有多樣選擇以提高進行全置換術或局部置換術的速度、準確度和簡易度。