A patient positioning device, comprising: a planar sheet having first and second side edges and a top surface, said planar sheet configured for positioning of said patient thereon, said patient being supported by said top surface; a handle coupled to said planar sheet for lifting or moving said planar sheet when said patient is supported by said planar sheet; a first padded substrate and a second padded substrate each attached to said sheet, wherein said first and second padded substrates are configured to wrap around an adjacent arm of said patient creating respective wrapped arm engagements; an overlap substrate oriented lengthwise across said planar sheet configured to wrap over and engage both of said wrapped arm engagements to hold said arms in an elevated position above said planar sheet and an underlying support surface wherein said elevated position prevents injury to said arm from said planar sheet and said underlying support surface; and characterised in that the patient positioning device comprises: first and second side edges configured to be located adjacent to legs of said patient; and wherein said wrapped leg engagements and said wrapped arm engagements protect said patient and prevents heat loss during pre-surgery, surgery, post-surgery or transport; a first flexible substrate removably attached to said first side edge of said planar sheet; a second flexible substrate removably attached to said second side edge of said planar sheet; and wherein said first and second flexible substrates are overlapped when not in use and, when in use, each individually wrap around an adjacent leg of said patient creating respective wrapped leg engagements for each said adjacent leg. a planar sheet having first and second side edges and a top surface, said planar sheet configured for positioning of said patient thereon, said patient being supported by said top surface; a handle coupled to said planar sheet for lifting or moving said planar sheet when said patient is supported by said planar sheet; a first padded substrate and a second padded substrate each attached to said sheet, wherein said first and second padded substrates are configured to wrap around an adjacent arm of said patient creating respective wrapped arm engagements; an overlap substrate oriented lengthwise across said planar sheet configured to wrap over and engage both of said wrapped arm engagements to hold said arms in an elevated position above said planar sheet and an underlying support surface wherein said elevated position prevents injury to said arm from said planar sheet and said underlying support surface; and characterised in that the patient positioning device comprises: first and second side edges configured to be located adjacent to legs of said patient; and wherein said wrapped leg engagements and said wrapped arm engagements protect said patient and prevents heat loss during pre-surgery, surgery, post-surgery or transport; a first flexible substrate removably attached to said first side edge of said planar sheet; a second flexible substrate removably attached to said second side edge of said planar sheet; and wherein said first and second flexible substrates are overlapped when not in use and, when in use, each individually wrap around an adjacent leg of said patient creating respective wrapped leg engagements for each said adjacent leg. first and second side edges configured to be located adjacent to legs of said patient; and wherein said wrapped leg engagements and said wrapped arm engagements protect said patient and prevents heat loss during pre-surgery, surgery, post-surgery or transport; a first flexible substrate removably attached to said first side edge of said planar sheet; a second flexible substrate removably attached to said second side edge of said planar sheet; and wherein said first and second flexible substrates are overlapped when not in use and, when in use, each individually wrap around an adjacent leg of said patient creating respective wrapped leg engagements for each said adjacent leg.