A height adjustment system for a delivery table or the like having a table top supported upon a height adjustable column with an assist cylinder. The system includes an actuator assembly to operate the assist cylinder from manual actuators, such as paddles, located approximately in four corners of table top. The system may include a pair of paddle assemblies mounted under the table top on opposite sides of said assist cylinder. The paddle assemblies may be coupled to the assist cylinder by a linear linkage that translates pivotal movement of a paddle into linear movement sufficient to actuate the assist cylinder. The linear linkage may include a straight drive rod coupled to one paddle assembly and an offset drive rod coupled to the other paddle assembly. The linear linkage may also include a pivot arm to reverse movement of the offset drive rod.