A bone plate alignment guide apparatus (10, 200), comprising: a body (20, 220), the body (20, 220) comprising: an arm (22, 222) with a first end and a second end; an attachment portion (24, 224) at the first end, the attachment portion (24, 224) comprising a through hole (18, 227); and an alignment portion (26, 226) at the second end, the alignment portion (26, 226) comprising at least one through hole (28, 228); wherein the arm (22, 222) is a curved shape; a fixation insert (30, 230) configured to pass through the through hole (18, 227) of the attachment portion (24, 224) and couple to at least one opening (90, 92) of a bone plate, wherein the fixation insert (30, 230) includes a threaded section or an engagement portion for engaging the at least one opening (90, 92) of the bone plate; a guide pin (40, 240) configured to pass through the at least one through hole (28, 228) of the alignment portion (26, 226); and a screw configured to engage the guide pin (40, 240), wherein the arm (22, 222) is configured to position the through hole (18, 227) of the attachment portion (24, 224) generally perpendicular to the at least one through hole (28, 228) of the alignment portion (26, 226), and wherein insertion of the guide pin (40, 240) through the at least one through hole (28, 228) of the alignment portion (26, 226) positions the guide pin (40, 240) inferior to the fixation insert (30, 230) when the arm (22, 222) is positioned superior to the alignment portion (26, 226). a body (20, 220), the body (20, 220) comprising: an arm (22, 222) with a first end and a second end; an attachment portion (24, 224) at the first end, the attachment portion (24, 224) comprising a through hole (18, 227); and an alignment portion (26, 226) at the second end, the alignment portion (26, 226) comprising at least one through hole (28, 228); wherein the arm (22, 222) is a curved shape; an arm (22, 222) with a first end and a second end; an attachment portion (24, 224) at the first end, the attachment portion (24, 224) comprising a through hole (18, 227); and an alignment portion (26, 226) at the second end, the alignment portion (26, 226) comprising at least one through hole (28, 228); wherein the arm (22, 222) is a curved shape; a fixation insert (30, 230) configured to pass through the through hole (18, 227) of the attachment portion (24, 224) and couple to at least one opening (90, 92) of a bone plate, wherein the fixation insert (30, 230) includes a threaded section or an engagement portion for engaging the at least one opening (90, 92) of the bone plate; a guide pin (40, 240) configured to pass through the at least one through hole (28, 228) of the alignment portion (26, 226); and a screw configured to engage the guide pin (40, 240), wherein the arm (22, 222) is configured to position the through hole (18, 227) of the attachment portion (24, 224) generally perpendicular to the at least one through hole (28, 228) of the alignment portion (26, 226), and wherein insertion of the guide pin (40, 240) through the at least one through hole (28, 228) of the alignment portion (26, 226) positions the guide pin (40, 240) inferior to the fixation insert (30, 230) when the arm (22, 222) is positioned superior to the alignment portion (26, 226).