There is a lack of affordable surgical navigation systems on the market available for epidural steroid injections. ArUco marker tracking via stereoscopic vision was used to obtain a three-dimensional coordinate, and augmented reality (AR) was used to overlay a virtual spine model at the three-dimensional coordinate. A total of 60 injections were tested on a ballistic gel cube modeling a patient’s tissue and spine with and without the AR surgical navigation system which showed a 20% increase in success rate using the AR surgical navigation system. Our design costed $620, a 1000-fold cheaper, and was highly accurate with an ArUco tracking error of 1.97 ± 0.36 mm making our AR surgical system viable for surgical applications