Surgical table for providing hyperextension of the hip joint during direct anterior approach without need for lowering the distal end of the operating table. The attachment will allow external rotation as well as adduction for better exposure of the proximal end of the femur. It further allow for motorized traction of the lower extremity controlled by the operating surgeon. The inventive device conveniently incorporates a femoral elevator mechanism that will raise the proximal end of the femoral bone for better visualization through the surgical wound and easier reaming of the femoral canal.