Abstract: Surgical instrument trays and related methods are described. The surgical instrument tray includes a tray having a plurality of side walls and a base which define an interior space. An insert is located within the interior space of the tray and is removable from the interior space. A lid is provided for closing the interior space and which is removable from the tray. The insert has an upper surface including a plurality of outlines, each outline having the shape of the outline of a corresponding surgical instrument or part of a surgical instrument, each outline being in the form of a continuous strip, and wherein each outline has at least one support arranged to receive and releasably hold the corresponding surgical instrument or part of the surgical instrument above and in registration with the outline.