An improved medical procedure table has motorized elevation, Trendelenburg tilt, floating tabletop with both longitudinal and lateral travel, multi-caster control, and an iso-roll device for the tabletop. The iso-roll device is connected between a roll plate and a cross plate. The iso-roll device includes a pair of iso-roll guide plates, which are mounted laterally to a bottom of the roll plate. Each iso-roll guide plate has an arcuate guide channel therein having an upwards concave shape. A set of cam followers are positioned in both guide channel and travel therein and also fixedly mounted to a base on the cross plate. A center of radius of the arcuate guide channel is approximately 5 inches above the tabletop. Further, mounted between the iso-roll guide plates and to the roll plate is a support guide plate having an arcuate bottom surface.