Abstract: A surgical system, including a sealable pouch or envelope with surgical implements in the envelope is disclosed. The envelope is formed by the folds in a membrane and includes adhesive on the envelope to adhere the envelope to the surgical site. The system may include a port in the membrane to communicate between the interior and exterior of the envelope. When used for implant surgery, the port helps to provide sterile access to the implant site and also helps to ensure that the implant site does not become contaminated. The adhesive helps to position the system to the patient, and placement of the surgical implements inside the envelope helps to ensure sterility of the implements. The envelope can be opened over the surgery site and adhered to the incision site on the patient, thereby forming a sterile field.