The invention relates to the field of medicine, and discloses an intramedullary fixation guider. In the invention, data at both a nail insertion point A and a nail withdrawal point B can be acquired according to the measurement result of preoperative three-dimensional reconstruction CT (Computed Tomography), wherein the nail insertion point A can be directly located according to the mark on the body surface due to the shallow and easily-exposed position of the nail insertion point A. Then, the nail withdrawal point B is located by using the locator according to the CT measurement data, and a guide bar is utilized to connect the nail insertion point A and the nail withdrawal point B. The three-dimensional CT scanned data is used, and the nail withdrawal point is determined by the locator so as to determine the nail withdrawal direction of the guider, thereby accurately controlling the injection and withdrawal routes of the nail. Since the injection and withdrawal routes of the nail are ensured by a precision instrument instead of the experience of the operator, the intramedullary fixation guider can maximally prevent the nail in the penetration process from mistakenly entering the hip joint or mistakenly penetrating the cortex of bone to damage important anatomical structures, such as nerves, blood vessels and the like.