#$%^&*AU2018200895A120180222.pdf#####ABSTRACT A surgical device formed by anatomical data for a specific patient is disclosed. The surgical device comprises a medial body of the surgical device, the medial body having a proximal and a distal end at least one patient-specific element selectively coupled to the distal end of the medial body and configured to be positioned on a patient-specific anatomical feature corresponding to the patient-specific element the medial body further comprising a central bore configured to receive at least one insert the at least one insert comprising an aperture for receiving an instrument or implant wherein the aperture of the at least one insert is customized to receive an instrument or implant only to a predetermined depth within the aperture.