An apparatus for eliminating pressure and providing patient stability configured to be placed onto an operating room table or bed frame, or on top of another support surface on top of a bed frame. The apparatus includes a support surface that eliminates all pressure affecting the sacrum, coccyx and ischium, thereby preventing pressure ulcers affecting these anatomical sites. Additionally, the support surface substantially reduces pressures affecting the heels, thereby preventing the occurrence of pressure ulcers affecting the heels. Alternately, the support surface eliminates pressure affecting the heels, trochanter/hip and shoulder area, thereby preventing pressure ulcers affecting these anatomical sites. The support surface also provides patient stability. On an operating room table, the patient stability facilitates surgical effectiveness and safety. On a bed, the patient stability significantly reduces the need for healthcare workers to reposition or move patients up in bed, thereby significantly reducing the risks for back injuries for healthcare workers.