An apparatus for moving a patient on a pad and holding the pad in place on a surgical table. An upper member and a lower member having wings extending from opposite sides are configured and arranged to secure the position of the arms. In this position the arm has been securely wrapped without use of the patient's body weight, and the arm can be easily unwrapped by reversing the steps above, without the necessity of repositioning the patient (to get their body weight off of the device or a draw sheet), for access to the arm during the surgical procedure. Access may be necessary for anesthesia monitoring lines, invasive arterial lines, non-invasive blood pressure cuffs, SPO2 finger probes, and intravenous lines needed for medications and fluid delivery.