A positioning pad for positioning a patient on an operating table includes a body, and a sheet configured to be coupled to the body. The body has a first end and a second end. The sheet is configured to be coupled to the body and is bifurcated to define a first portion and a second portion. The sheet includes a fastening member disposed on the first portion and a fastening member disposed on the second portion. The first portion is configured to be wrapped over an arm of a patient and the second portion is configured to be wrapped under an arm of a patient to secure the fastening member of the first portion to the fastening member of the second portion and secure the sheet to the arm of the patient.