Augmented reality surgical navigation

Revolutionizing orthopedic surgery

With precision and innovation. PAIR Guide puts patient-specific 3D anatomy and the surgical plan directly in the surgeon's line of sight. No robotic arm. No bone-mounted markers.

PAIR Guide · Provision's Augmented Intelligent Reality Nashville, Tennessee
Supported by
  • NVIDIANVIDIA Inception
  • MetaMeta Horizon Start
  • MicrosoftMicrosoft for Startups Founders Hub
A new kind of surgical experience

Changing lives through innovation, precision, and care.

Provision Surgical is not just about enhancing surgical procedures. Our AR navigation system is designed to make a measurable difference in orthopedic surgery and beyond, starting with total knee arthroplasty.

Surgeon wearing AR glasses with a 3D knee model displayed in the operating room Intraoperative view
01

Improved precision

Proprietary algorithms for bone and implant tracking deliver tailored guidance across multiple orthopedic procedures.

02

Footprint miniaturization

A noninvasive, hands-free solution that removes the need for external registration hardware or additional instrumentation.

03

Safer, better outcomes

By removing radiation exposure and improving procedural efficiency, we are committed to superior patient outcomes.

Precision in every procedure

The numbers behind the mission

Accuracy
0.75 mm Mean distance error ~99% distance accuracy
0.71° Mean angular error ~99% angular accuracy
Patient impact
~50% Of TKA complications are preventable Leading driver of revision surgery
525K Patients per year affected by misalignment Coronal, rotational, and sagittal errors
Cost savings
$292.5K Annual savings per institution Per 300 cases
$150K Saved on disposables alone No per-case disposables needed

PAIR Guide is in development and has not been cleared or approved by the U.S. Food and Drug Administration. It is not available for sale in the United States.

Surgeon insights

A vision, backed by surgeons

Dr. Kevin Park, orthopedic surgeon and Provision clinical advisor, explains why implant alignment matters and what surgeons should expect from the next generation of navigation.

Watch all six conversations
Recognition

Programs and competitions backing PAIR Guide

1st Place, 2026 AWS AI Pitch Competition
1st Place, 2024 Georgetown Innovation in Healthcare Challenge
2nd Place, 2025 Georgetown Bark Tank
3rd Place, 2024 TiE DC Women Pitch Competition
Audience Choice Award, Launch TN 3686
FDA-reviewed test plan
ZeroTo510 Accelerator
TechCrunch Disrupt
United XR Builders Startup 2025
Propellant Labs Technology Accelerator
CSI Tech Incubator
Qatar Development Bank Pre-Accelerator
Octane LaunchPad SBDC Accelerator
Georgetown Research and Innovation Showcase 2025
Peachscore + Dealum Accelerator
Collision ALPHA Program and Impact Startup 2024
B132 Accelerator
LvlUp Labs Accelerator
Let's talk

See surgery in a new light

Surgeons, health systems, implant partners, and investors: we would like to hear from you.