Examination, manipulation and treatment table with an additional use for gynecological examination. Hydraulic or electric height adjustment by means of a low voltage (24V) foot switch or with foot rail. The couch has two 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, and also in a position suitable for a gynecologic examination (leg supports included in the supply). The head section, equipped with an elongated breathing hole, can be adjusted both in positive and in negative positions.