A Mayo stand cover and integrated medical waste refuse container that includes a pair of thin plastic sheets sealed together to cover the top and bottom of a Mayo stand with a liquid barrier and a strategically positioned, substantially rectangular visually clear sealable plastic refuse container sheet attached in a specific area of the Mayo stand cover to be positioned vertically perpendicular to the Mayo stand. The refuse container allows surgical personnel direct access for disposing of surgical waste and a visual opportunity to determine what has been placed in the refuse bag for counting purposes, and prevents waste material from falling out during removal of the Mayo stand cover after surgery.