This chapter discusses the instrumentation needed to perform minimally invasive sacroiliac joint fusion, a novel treatment for sacroiliac joint pain or chronic sacroiliitis. As in any surgical procedure, access to the appropriate surgical instrumentation is imperative for a safe and successful outcome. Topics covered include patient positioning and preparation for sacroiliac joint fusion; sterile preparation and surgical drapes are used. Nonsurgical items needed during the procedure for planning, administration of local anesthetic, absorption of blood or fluid, infection prevention, and wound dressing are detailed. The surgical instruments used to incise, maintain hemostasis, and close the incision are described. Device manufacturers provide prepacked kits that may contain a guide pin, a series of dilators, broach, screws, implant, and implant delivery system.