The invention discloses a meniscus suture positioning guider which comprises a positioning arm and a guide tube. A circular hole or groove is formed in the front end of the positioning arm and corresponds to a pointed end of a meniscus puncture needle to penetrate through the meniscus puncture needle pointed end, a base in the lower portion of the positioning arm is of a hollow structure, the guide tube can be inserted into the base, the guide tube is of a hollow structure, and the meniscus puncture needle can be inserted into the guide tube. The meniscus suture positioning guider has the advantages that the structure is simple, the guider is easy and convenient to operate, the inner edge of a meniscus torn portion is pressed downwards by the front end of the positioning arm in a meniscus injury suture operation, a meniscus suture needle can precisely penetrate through the guide tube and the inner edge of the meniscus torn portion to reach the circular hole or groove in the front end of the positioning arm, and the defects that the meniscus puncture needle is blindly penetrated and lack of precision, and blood vessels, nerves, meniscus tissue and the like are damaged due to lots of punctures are overcome. The guider shortens time for the meniscus suture operation clinically, simplifies operation steps and improves operation quality.