XonoNav View is physician-controlled 3D procedural navigation software for outpatient spine and musculoskeletal needle procedures. At its core is a patent-pending sparse-view reconstruction algorithm that generates a patient-specific 3D bone model from three to five standard X-ray images in under 10 seconds. The system combines this precomputed bone model with tracked B-mode ultrasound and displays fused bone, soft-tissue, and needle information on standard displays already available in clinics—clinical monitors or tablets—or an optional XR display. The 3D reconstruction is completed before the procedure, while ultrasound and instrument tracking continuously update the procedural view during use. Designed to work with imaging equipment already available in outpatient clinics, XonoNav View eliminates the need for a dedicated CT- or C-arm-based navigation suite. By providing continuous 3D spatial context, it reduces reliance on continuous intraoperative fluoroscopy while preserving physician control over diagnosis, target selection, and needle placement.