A femoral lift apparatus (10) for operating table (12) having side rail (14), apparatus (10) engageable with femur (31) of a patient. Apparatus (10) includes lift (18) mountable to side rail (14). Extension arm (22) is receivable on lift (18), extension arm (22) extending transversely from lift (18) when extension arm (22) is received on lift (18) Plurality of apertures (24) can be defined along extension arm (22), and femoral hook (26) can be receivable in one of apertures (24) in extension arm (22), femoral hook (26) having a hook end (30) shaped to be received under and contour femur (31) of the patient positioned on operating table (12) when lift (18) is mounted to side rail (14) of table (12), extension arm (22) is received on lift (18), and femoral hook (26) is received in one of apertures (24) of extension arm (22).