A system and method provide for image-guided implant placement as a function of at least one intraoperative image during a surgical procedure. At least one computing device is configured by executing code stored in non-transitory processor readable media to process at least one preoperative image to assess axial rotation and/or sagittal pelvic inclination. Further, as a function of a plurality of identified anatomical landmarks in the at least one preoperative image, at least one of distances, angles, and areas is measured. Thereafter, as a function of calculations associated with the at least one of distances, angles, and areas, axial rotation associated with at least one image is measured. Thereafter, at least one value associated with placement of an implant during the surgical procedure is adjusted and information associated therewith is provided via a graphical user interface.