Abstract: The precision formed compressed demineralized cancellous bone matrix product is made by the process of: (a) providing a demineralized cancellous bone matrix in a compression mold for the tissue implant; (b) freeze-drying the demineralized cancellous bone matrix in the mold to form freeze-dried compressed demineralized cancellous bone matrix; (c) compressing the matrix contained within the compression mold for a time and under conditions sufficient to form a tissue implant part there from; and (d) removing the precision formed compressed demineralized cancellous bone matrix product.