The invention relates to a gesture support device (10) for controlling and/or operating a medical device (24), wherein the gesture support device is used to make gestures which are to be detected by a gesture detection system (23) and translated into control and/or operating inputs for the medical device (24), characterized in that the gesture support device (10) comprises discrete or delimited sections (12-18) which can be recognized as such by the gesture detection system (23). It also relates to a system for controlling and/or operating a medical device (24), comprising such a gesture support device, and to a method for controlling and/or operating a medical device (24).