Abstract: An imaging table leveling system for use with a medical imaging device is provided which levels an imaging table with respect to true level. The imaging table leveling system levels an imaging table before the imaging table is floated, or while the imaging table is floating. The system includes an imaging table, an inclinometer, a processor, and actuators. The inclinometer continuously measures table angle data. When activated, the processor receives the table angle data from the inclinometer. The processor then compares the table angle data to a stored level constant. The stored level constant is a measurement of true level. The processor then commands the actuators to move the imaging table until the table angle data matches the stored level constant. The table angle data is also used to correct differences in actuator rates during tilt or roll motions.