Abstract: A patient supporting surface for use with a conventional operating room table having at least one pad for supporting a patient, wherein the pad has a chamber for containing a quantity of fluid. The chamber is a dual-layer, urethane envelope having an upper and lower portion. The fluid contained within the chamber is a deformable and pressure compensating, radiolucent fluid. The chamber and the fluid are cooperatively adapted to maintain the patient in a fixed position while substantially minimizing the interface pressure and shear force between the pad and the patient. A cover sheet may be removably attachable about the fluid-filled chambers and comprises an entry for selective access to the fluid-filled chambers.