Microsurgery, especially on an outpatient basis, is a growing part of urologic practice. A commercial table that matches the exacting requirements of urologic microsurgeons does not exist. We have developed a simple and inexpensive design that can be fabricated easily by a hospital workshop. Notable features include removable arm rests, table indentations, and an x-ray carriage assembly. The table is easy to maintain, transport, and store. Comfort and easy access to the operative field improve the surgeon's performance and ultimately translate into better operative results.