A process for inserting a pivotable interbody spacer including an insertion instrument configured to manipulate a pivotable interbody spacer during insertion, wherein the insertion instrument includes means for coupling the interbody spacer and a means for fixing the angular position of the interbody spacer. According to one method for inserting an interbody spacer in a spinal disk space, the interbody spacer is grasped by the insertion instrument and fixed at a first angular position. The interbody spacer is next inserted into a surgical site. Next, the interbody spacer is released from a first angular position. Then, the insertion instrument is pivoted about a coupling of the interbody spacer such that the interbody spacer is in a second angular position. The angular position of the interbody spacer is then fixed in the second angular position. This insertion process continues until the interbody spacer is positioned in the desired location.