The present invention describes an inversion table with neck support for providing an additional mechanism for reducing the risk of injury and allowing a user to remain on the device when partially or fully inverted. The inversion table with a neck support contains a base frame structure, a body support structure pivotably or rotatably connected to the base frame structure, a lower extremity fastening assembly, and a second assembly for securing or supporting one or more portions of a user to the inversion table. The second assembly preferably includes one or more neck supports.