A device adapted for the placement of a lead at a target site on a tissue surface, the device comprising: (a) a hollow lead guide having a lead guide distal end, and connected to a lead guide head at said lead guide distal end; (b) a lead extending through said hollow lead guide and having a lead distal end portion, said lead distal end portion extending from said lead guide head for contact with the tissue surface, and releasably engaging said lead guide head; (c) an elongated body having a longitudinal axis, a proximal end portion and a distal end portion, and having a proximal inlet and a distal lead outlet for extending said lead guide head therethrough for contacting said lead with the tissue surface, said elongated body comprising a lead receiving passageway for receiving and conducting said lead guide head extending between said proximal inlet and said distal lead outlet therethrough, and a lumen adapted to provide suction to said distal end portion; (d) a suction foot portion in fluid communication with said lumen, said suction foot portion tiltably attached to said distal end portion such that said suction foot may be tilted about two axes with respect to said longitudinal axis; said lead guide head adapted to releasably engage said suction foot portion such that such engagement is of sufficient strength to maintain the position of said lead distal end portion as it engages said tissue surface, and sufficiently releasable such that said lead guide head may be released from said suction foot portion once said lead is attached to said tissue surface; and (e) an actuator extending from said proximal end portion to said distal end portion and adapted to tilt said suction foot portion about a first of said axes. (a) a hollow lead guide having a lead guide distal end, and connected to a lead guide head at said lead guide distal end; (b) a lead extending through said hollow lead guide and having a lead distal end portion, said lead distal end portion extending from said lead guide head for contact with the tissue surface, and releasably engaging said lead guide head; (c) an elongated body having a longitudinal axis, a proximal end portion and a distal end portion, and having a proximal inlet and a distal lead outlet for extending said lead guide head therethrough for contacting said lead with the tissue surface, said elongated body comprising a lead receiving passageway for receiving and conducting said lead guide head extending between said proximal inlet and said distal lead outlet therethrough, and a lumen adapted to provide suction to said distal end portion; (d) a suction foot portion in fluid communication with said lumen, said suction foot portion tiltably attached to said distal end portion such that said suction foot may be tilted about two axes with respect to said longitudinal axis; said lead guide head adapted to releasably engage said suction foot portion such that such engagement is of sufficient strength to maintain the position of said lead distal end portion as it engages said tissue surface, and sufficiently releasable such that said lead guide head may be released from said suction foot portion once said lead is attached to said tissue surface; and (e) an actuator extending from said proximal end portion to said distal end portion and adapted to tilt said suction foot portion about a first of said axes.