A patient support apparatus includes a base, a litter frame, and an elevation assembly supporting the litter frame on the base. The elevation assembly is configured to effect changes in elevation of the litter frame relative to the base. The elevation assembly includes a pair of hydraulic actuators and a hydraulic fluid control system for delivering fluid to the first and second hydraulic actuators. The control system includes a pump and a user operable control coupled to the pump for controlling the flow of hydraulic fluid from the pump to the first and second hydraulic actuators.