The present invention discloses a measuring and guiding device for reconstruction surgery. The measuring and guiding device includes: a pair of rotary aims, a connector, and a pair of fixators. Each rotary arm includes: a first shaft, a first joint body and a second joint body. The pair of rotary arms is joined together by extending through each of the first joint bodies using the connector. Besides, each fixator includes: a second shaft, a third joint body and a guiding portion, and each third joint body is connected with one of the second joint bodies. With the implementation of the present invention, the measuring and guiding device is capable of measuring an operating site and guiding the operation precisely during reconstruction surgery.