Abstract: A head support device to be used in cooperation with a treatment table for humans such as a chiropractic or therapeutic table. The head support device provides a comfortable support for a patient's head during therapy, wherein the head support device includes a baseplate of polygonal shape having at least four sides, including two opposing, longer sides and opposing top and bottom sides. The bottom side includes an opening that allows airflow to a patient when face-down on the table. The baseplate includes a pair of flanges connected to the opposing longer sides of the baseplate and extending upward from the baseplate within a range of 20 to 90 degrees. Attachment structure coupled to the head support device enables attachment of the head support device to the treatment table. A patient controlled pressure adjustment mechanism is attached to the pillow to permit the patient adjust air pressure to a desired comfort level. A second pillow having a medial hinged section is suspended from the baseplate.