This document provides instructions for performing an interlocking tibia nail procedure. Key steps include: 1) preoperative planning with imaging and templating; 2) checking instruments and nail; 3) positioning the patient on a radiolucent table; 4) making an incision over the planned entry point on the tibia; 5) inserting a guide wire aimed down the tibial crest; 6) reaming the medullary canal to a diameter slightly larger than the nail; 7) inserting the nail over the guide wire and locking it proximally and distally with screws under fluoroscopy guidance; and 8) closing the wound.