Abstract: A graft preparation system that includes a base, a guide extending laterally outward from the base and including a top interface and a bottom interface that removably receives a graft thereon, and a plurality of slots extending through the guide between the top interface and the bottom interface. Each slot of the plurality of slots are sized to receive a needle therethrough such that the plurality of slots form a plurality of channels from the top interface to the bottom interface. The guide is configured to facilitate placement of a suture attached to the needle from the top interface into at least one of the channels formed by the plurality of slots such that the suture is received through the graft at the bottom interface.