Abstract: The invention is an improved wheel chair in which the seat may be raised or lowered by a hand powered hydraulic ram mechanical means to levels that match the surface of the chair or bed to which the patient is being transferred. A commode function is also provided. The chair comprises a base having swivel casters and fixed wheels, an upper unit having a seat and backrest and a hydraulic pump, and a seat raising mechanism consisting of four pairs of interconnected levers connected by two cross bars in such a way that when the bars are pushed apart by a hydraulic ram, the separating motion is amplified to give the desired range of chair seat travel height.