Surgical Patient Positioning Guide
- Supine Position (Lying on the Back)
This is the most commonly used position in
surgeries.
- The patient lies flat on
their back, with the head facing upward.
- Arms are placed alongside the
body, with shoulders relaxed downward.
- Legs remain parallel, uncrossed, and feet should not be touching.
- The head is aligned straight
with the spinal column.

Required
Supplies:
- Ankle roll (for foot
support).
- Two elbow supports.
- Thigh strap (if
needed).
Steps:
1. Position the patient on the operating
table with the arms
placed alongside the body.
- Legs should be straight, parallel,
and aligned with the head
and spine.
- Heels should be parallel to the spine.
- This ensures a natural, comfortable
posture.
- Confirm that the legs are not crossed.
2. If a safety strap is placed over the
patient’s knees:
- Ensure the strap is not too tight.
- If the patient is awake,
explain the procedure to reduce
anxiety.
3. Secure the arms with an elbow strap:
- Ensure the elbow strap is not too
tight.
- Do not tuck the hands under the patient’s body.
4. Place an ankle roll under the foot
joint to keep the
feet from touching each other.
5. Position a pillow under the patient’s
head.
6. If needed, place a small cushion under
the lumbar region
for extra support.