A surgical armrest is disclosed. In one embodiment, the surgical armrest includes a body having two dorsal mounting brackets attached thereto. Each of the dorsal mounting brackets have an elongated aperture with an armrest member attached thereto. Each of the elongated apertures defines two ranges of rotation substantially parallel to a horizontal axis of the body. Each of the armrest members are configured to support a surgeon's elbow, forearm, wrist, or a combination thereof, during a surgical procedure, such as an operative microsurgery procedure on the skull and brain, for example.