Abstract: The therapeutic medical toilet bed includes an integrally formed center base mattress with hydraulic retraction system fully supported on a mattress frame unit capable of adapting to any standard medical bed frame. The therapeutic mattress can adapt to multiple positions to secure a position as required for patient care and comfort. The fully functional toilet system can be utilized by retracting the center base mattress by a remote controlled hydraulic system as needed by patient. Also included with toilet system is a pressurized water system with sanitizing unit for cleansing, sanitizing and flushing of waste products downwardly into a high capacity storage container with sanitizing unit.