An apparatus (18) for mounting surgical rails (40, 42) to a litter (10) having a pair of parallel poles (12) includes a pair of longitudinal members (20, 22) fixed to outboard sides of respective ones of the pair of poles (12). A pair of surgical rails (40, 42) is fixed to outboard surfaces of respective ones of the pair of longitudinal members (20, 22). Clamps (24, 26, 28, 30) at each end of each longitudinal member (20, 22) fix the longitudinal members (20, 22) to the pair of poles (12). A pair of cross bars (36, 38) extend between and are fixed to opposing clamps (24, 26, 28, 30) at each end of each longitudinal member (20, 22).