Surgical guides and processes for producing and using the same

A patient-specific surgical guide comprising:

• a body comprising:
• a metallic material;
• a front surface;
• a conformal tissue engaging surface opposite the front surface and contoured to a patient's anatomy, wherein the conformal tissue engaging surface comprises one or more textured regions and at least one of the one or more textured regions has a minimum feature size of 0.1 mm to 2 mm;
• and
• an opening extending through the body between the conformal tissue engaging surface and the front surface.

A system for performing a surgical procedure, the system comprising:

• a patient-specific surgical guide comprising:
• a metallic material;
• a front surface opposite a conformal tissue engaging surface, wherein:
• the conformal tissue engaging surface is contoured to patient anatomy and comprises one or more textured regions;
• and
• at least one of the one or more textured regions has a minimum feature size of 0.1 mm to 2 mm;
• and
• an opening extending through the patient-specific surgical guide between the conformal tissue engaging surface and the front surface and sized to receive a surgical tool;
• and
• an implant.