Abstract: A cranial implant and a method for generating and implementing the cranial implant is provided, wherein the cranial implant includes at least one fixation tab. The method includes determining the characteristics of a skull of a patient and an opening in the skull, identifying the desired location of the at least one fixation tab, fabricating the cranial implant based on at least one of a predetermined algorithm and experience of a fabricator in response to at least one of the characteristic of the skull/opening in the skull and the location of the fixation tabs, adjusting the cranial implant to fit within the opening of the skull such the cranial implant is substantially flush with a surface of the skull and securing the cranial implant to the skull using one or more fixation screws.