A treatment couch (1) having a first headrest (2) and a second headrest (3), wherein at least one first armrest (4) is assigned to the first headrest (2) and at least one second armrest (5) is assigned to the second headrest (3) and wherein the at least one first armrest (4) is adjustable independently of the first headrest (2) and the at least one second armrest (3) is adjustable independently of the second headrest (5). Such a treatment couch is capable of providing flexibility and saving space.