An apparatus that transforms the surface of a commonly used operating table into a dedicated platform configured to support a patient in a prone position for back surgery or other medical procedures. In one embodiment, the apparatus includes a frame configured to rest on top of the surface of an operating table and support members attached to the frame, configured to support the patient in a prone position. Thus, the apparatus converts commonly used operating tables into a dedicated back surgery. The apparatus eliminates the use of various improvised support structures stuffed underneath the patient to provide support while on the operating table in a prone position.