Abstract: The present invention relates to a patient specific instrumentation for a total ankle replacement. The system is comprised of a device primarily comprised of a device front face; a device rear face opposite the front face that may be configured to face a human tibia; a device thickness extending from the device front face to the device rear face; a device top; a device bottom that may configured to be positioned over a user's foot; a device height extending from the device top to the device bottom and perpendicular to device thickness; a device left side; a device right side; a device width extending from the device left side to the device right side and perpendicular to the device height and device thickness; and a lower portion that may include a device body.