A surgical patient support system, comprising: a base frame including a head elevator tower and a foot elevator tower each having a support bracket connected thereto and configured for translation of the support brackets between higher and lower positions, a support frame including first and second support rails (218, 220) extending parallel to each other from a head end to a foot end, a head-cross beam and a foot-cross beam extending between the first and second support rails (218, 220) at the head end and foot end respectively, and connection arms including a head-connection arm engaged with the head-cross beam and coupled with the support bracket of the head elevator tower and a leg-connection arm engaged with the foot-cross beam and coupled with the support bracket of the foot elevator tower, a support platform coupled to the support frame and including a torso section and a leg section, an actuator assembly coupled to the support frame and configured to support the leg section, wherein the leg section is configured to move between a raised position and a lowered position to create leg break of a surgical patient in a lateral position, characterised in that the actuator assembly includes at least two actuators and a first of the at least two actuators is pivotably coupled to one of the support rails (218, 220) and a second of the at least two actuators is pivotably coupled to the other of the support rails (218, 220), and each of the at least two actuators is pivotably coupled to the leg section of the platform and is configured for actuation to move the leg section of the support platform between the lowered and the raised positions. a base frame including a head elevator tower and a foot elevator tower each having a support bracket connected thereto and configured for translation of the support brackets between higher and lower positions, a support frame including first and second support rails (218, 220) extending parallel to each other from a head end to a foot end, a head-cross beam and a foot-cross beam extending between the first and second support rails (218, 220) at the head end and foot end respectively, and connection arms including a head-connection arm engaged with the head-cross beam and coupled with the support bracket of the head elevator tower and a leg-connection arm engaged with the foot-cross beam and coupled with the support bracket of the foot elevator tower, a support platform coupled to the support frame and including a torso section and a leg section, an actuator assembly coupled to the support frame and configured to support the leg section, wherein the leg section is configured to move between a raised position and a lowered position to create leg break of a surgical patient in a lateral position, characterised in that the actuator assembly includes at least two actuators and a first of the at least two actuators is pivotably coupled to one of the support rails (218, 220) and a second of the at least two actuators is pivotably coupled to the other of the support rails (218, 220), and each of the at least two actuators is pivotably coupled to the leg section of the platform and is configured for actuation to move the leg section of the support platform between the lowered and the raised positions.