The invention relates to a surgical guide for receiving and guiding a surgical instrument, the guide including; an elongate body extending from a proximal end to a distal end, the elongate body including at least one aperture for receiving and guiding the surgical instrument; at least one positioning mechanism, the positioning mechanism adapted to be directly or indirectly connected to the body and adapted to engage or abut an anatomical location of a patient on which the guide is to be used. The guide is particularly useful in aiding canine tibial tuberosity advancement procedures.