Examination, manipulation and treatment table, hydraulic or electric height adjustment by means of a low voltage (24V) foot switch or with foot rail. The couch has four movable sections: the leg/back section and the head section can be adjusted by using a gas spring assisted system. The couch can be set in "partial trendelenburg" and "sitting" positions, even with the patient on it. The head section, equipped with an elongated breathing hole, can be adjusted both in positive and in negative positions. Fully adjustable side section arms; the table narrows towards the caudal section.