Abstract: This invention is a system for attaching pillows to an X-ray table or the like. A belt is connected with the pillow by construction that permits pillow-slips to be replaced for each patient without disturbing the permanent connection of the belt to the underside of the pillow. The belt extends to opposite sides of the X-ray table, where it can be looped around belt holders so as to bring end portions of the belt into position overlying the parts of the belt between the pillow and the belt holders. Detachable fastening means on the confronting surfaces of the overlying portions of the belt can be pressed together to hold the end portions of the belt in their looped positions about the belt holders and to maintain the pillow in a center position on the table.