The invention involves a folding patient transfer apparatus with a material top layer and a material bottom layer. A plurality of inserts has handhold openings that are formed in the inserts that are positioned between the material top layer and the material bottom layer utilizing a sewn plurality of insert seams. The seams form enclosed material chambers containing the inserts. The materials can be disposed of due to contamination however the inserts can be sterilized reducing hospital waste and cost. The apparatus is configured to slide and/or lift and/or carry a patient from a non-planer surface to a second planer or non-planer surface.