The present invention relates to a method of inserting an implant comprising providing a trial assembly. The method may further comprise positioning the trial assembly between vertebrae in a patient. The method may further comprise rotating a drive shaft of the trial assembly to cause upper and lower gear members of the trial assembly to rotate causing expansion of a tip assembly of the trial assembly. The method may further comprise measuring expansion of the trial assembly with a scale at a proximal end of the trial assembly. The method may further comprise removing the trial assembly from the patient. The method may further comprise positioning an implant between the vertebrae in the patient. The method may further comprise expanding the implant based on the measured expansion of the trial assembly.