A method, system, and apparatus for positioning a patient. A set of arm positioning sleeves is provided. Each arm positioning sleeve in the set of arm positioning sleeves is wrapped around a portion of an arm of a user lying on an operating table. One end of each body strap in a set of body straps is connected to a set of rails of the operating table. A set of body strap fasteners is provided that includes a set of hook-and-loop fastener material strips attached to an inner surface of each body strap. An opposing set of hook-and-loop material strips is attached to a portion of an outer surface of each arm positioning sleeve. The set of opposing hook-and-loop material strips on the set of arm positioning sleeves fastens to the set of hook-and-loop fastener material strips on the set of body straps to secure each arm of the user lying on the operating table in a desired position.