For quantum computers to reach their full potential will require error correction. We study the surface code, one of the most promising quantum error correcting codes, in the context of predominantly dephasing (Z-biased) noise, as found in many quantum architectures. We find that the surface code is highly resilient to Y-biased noise, and tailor it to Z-biased noise, whilst retaining its practical features. We demonstrate ultrahigh thresholds for the tailored surface code: ~39% with a realistic bias of = 100, and ~50% with pure Z noise, far exceeding known thresholds for the standard surface code: ~11% with pure Z noise, and ~19% with depolarizing noise. Furthermore, we provide strong evidence that the threshold of the tailored surface code tracks the hashing bound for all biases. We reveal the hidden structure of the tailored surface code with pure Z noise that is responsible for these ultrahigh thresholds. As a consequence, we prove that its threshold with pure Z noise is 50%, and we show that its distance to Z errors, and the number of failure modes, can be tuned by modifying its boundary. For codes with appropriately modified boundaries, the distance to Z errors is O(n) compared to O(n1/2) for square codes, where n is the number of physical qubits. We demonstrate that these characteristics yield a significant improvement in logical error rate with pure Z and Z-biased noise. Finally, we introduce an efficient approach to decoding that exploits code symmetries with respect to a given noise model, and extends readily to the fault-tolerant context, where measurements are unreliable. We use this approach to define a decoder for the tailored surface code with Z-biased noise. Although the decoder is suboptimal, we observe exceptionally high fault-tolerant thresholds of ~5% with bias = 100 and exceeding 6% with pure Z noise. Our results open up many avenues of research and, recent developments in bias-preserving gates, highlight their direct relevance to experiment
