A medical device for preparing an elongated bone, such as a proximal femoral bone, for receiving an implant includes a patient-specific femoral guide and an elongated alignment element. The femoral guide has a patient-specific three-dimensional bone-engaging surface configured according to a preoperative plan based on a three-dimensional image model of the femoral bone to mate complementarily with the surface of the proximal femoral bone extending between the greater trochanter, the femoral neck and the femoral shaft of the proximal femur. The femoral guide includes a first guide end forming a planar guide configured for guiding a neck resection. The alignment member can be removably attached to the femoral guide and defines a reference axis for guiding a cutting tool into the femoral bone through a resected surface of the femoral neck.