A lightweight flexible patient litter includes, in one example, spaced compression longerons each foldable at spaced legs, a bed between the compression longerons, and a longitudinal truss structure on each side of the litter each including a longeron, its spaced legs, and one or more flexible tension members connected thereto. One or more lateral truss structures may each include opposing legs on each side of the litter and one or more flexible tension members connected thereto. A bed truss structure may include one or more tension members.