A head support for a patient in a prone position comprising a body of compliant material, a forehead support region 18, a further lower support region 28, a void 22 to accommodate a users eyes, nose and mouth and a laterally facing viewing opening 36 providing a line of sight to the void and having a periphery which is an unbroken loop. A base wall 32 may support a mirror which will reflect a users face. The device may be a unitary foam pad. The forehead support 18 may be concave and cheek support regions 28 may be provided with transverse and longitudinal slots to receive the eyes and nose of a patient. Further circular conduit routing openings 44 may be provided which are round and closed except for a slit 46 which can be deformed to allow entry through a chin portion of a peripheral wall.