A medical device and method. The medical device includes a handle portion, a shank portion, a guide channel and a flexible guide device. The shank portion has a non-linear portion adjacent a distal end. The device is useful in performing medical procedures in the pre-sacral area of a human patient. After inserting the guide device, the shank may be removed leaving the guide device in place and a second medical device can be inserted into the site of interest using the guide device for guidance. The medical procedure can be performed using the second medical device.