A surgical support system including a positioning pillow to support a patient in a lateral position on an operating table. The positioning pillow includes a head supporting surface having an opening to accommodate an ear of the laterally positioned patient and a channel intersecting the opening to accommodate an eye of the laterally positioned patient, a shoulder supporting surface disposed adjacent to the head supporting surface and oriented substantially perpendicular to the head supporting surface to accommodate a shoulder of the laterally positioned patient, and a bottom surface disposed opposite to the head supporting surface and adjacent to the shoulder supporting surface, the head supporting surface being angled relative to the bottom surface to align the patients thoracic and cervical spine at a predetermined angle with respect to the operating table when the patients head is positioned on the head supporting surface in the lateral position.
