Abstract: A hand and finger X-ray positioning device comprising a radiolucent support board containing one or more attachment means and one or more positioning means which are removably affixed to said attachment means and which permit the stable positioning of one or more fingers in a desired position for the purpose of obtaining X-rays of the hand and fingers without exposing a surgeon or technician to harmful radiation. In a preferred embodiment, the attachment means are a series of holes located at the distal end of a sterilizable rectangular support board into which fit the positioning means or pegs.