The Wilson Operating Table Spine Surgery Accessory is a portable, easy to use positioning frame that allows surgeon specific lordosis of the spine during surgery. The adjustable, concave shape allows for separation of the vertebral bodies and provides direct access to problematic tissue between the vertebrae. The frame is engineered for safety and stability for patients weighing up to 600 lbs and is designed with a low profile to minimize patient height above the operating table, increasing patient security. With precise adjustability, the frame ensures proper patient positioning and lordosis control. It can be used for a broad spectrum of procedures and is easily transported for use on any operating room table.