An operating room table adapter is disclosed herein for use with a surgical table includes an adapter board, a rail receiver, and a rail assembly. The adapter board includes a slot formed in the adapter board and a strap extending through the slot. The adapter board has a first side including a first coupler. The first coupler is configured to engage a coupler of the surgical table and the strap is configured to wrap around at least a portion of the surgical table. The rail assembly extends beyond an edge of the adapter board and is operable to couple to a patient support.
