The present application is directed to guides for inserting an elongated member into a patient. The guide generally includes an elongated shape with a distal end that is positioned within the patient, and a proximal end that may be positioned outside of the patient. The guide may include a channel formed between sidewalls. The channel is sized to receive the elongated member and guide the member into a predetermined location within the patient. In one embodiment, the guide is used with an insertion device that may include a pivoting carriage for initially inserting the guide and then the elongated member into the patient. The guide may also be used in a freehand technique that is positioned specifically within the patient by the surgeon.