Some of the earliest operating tables date back to ancient Greece and Rome, consisting of simple platforms or benches used to support patients during procedures. However, it wasn't until the 19th century that operating tables began to take their modern form. Pioneering surgeons like John C. Warren and Dr. Crawford Long introduced tilting tables that could be adjusted for patient positioning. They also added extensions to accommodate the whole body during abdominal and lower extremity surgeries.

By the turn of the 20th century, Operating Tables and Lights had integrated rails and frames for draping and accessing different body areas. Hydraulic systems soon replaced earlier manual crank adjustments, allowing smoother movement. Additional features like built-in leg support plates and compartments for instruments further enhanced functionality and ergonomics. Today's operating tables often come equipped with battery-powered microprocessors controlling an array of motorized movements and monitoring patient metrics through integrated sensors.