A percutaneous needle guide includes a housing and an inclinometer secured to the housing for sensing a two dimensional inclination of the housing relative to the earth's gravitational field and for providing an indication thereof. A percutaneous needle is slidably mounting to the housing in a fixed axial orientation relative to the housing. A needle measuring device is mounted in the housing and operative by linear motion of the percutaneous needle so as to measure the linear position of the percutaneous needle relative to the housing and providing a measurement indication.