A flexible operating room lighting system may be coupled to a wall, ceiling, or fixture of a facility. The lighting system can modularly accommodate multiple illumination arms and incorporate one or more microphone thereon, permitting the vocal control using a processor for hands free operations. The lighting system may include a speaker and a camera to facilitate two-way communications with a user to facilitate demonstrations for individuals undergoing tutelage in the particular facility's profession. The lighting system may employ a stand with wheels to facilitate modularity. Further, a cover with a transparent front end may be provided to be slipped over the lighting system and securing through a cover fastener. By providing each illumination arm with a jack, the illumination arm may be modularly assigned, replaced, sanitized. Thus, the present invention provides reliable sanitary measures while further facilitating a flexible operable device through the illumination arms.