Shoulder Air Bag (SAB) is a disposable / reusable patient positioning device invented with a purpose of elevating patient’s shoulder from operation table and thus providing neck extension. It is indicated to position a patient during tonsillectomy, thyroidectomy and maxillofacial related procedures. It comprises of a recycled irrigation fluid bag that is connected to a hand-held pump to inflate the bag with air for adjusting the positioning of a patient who lies on the bag. 100% latex free, hypoallergenic, durable, lightweight and suitable to be used at healthcare facilities of any levels. It provides a cheaper, adjustable, easy to use positioning aid alternative which simplifies patient positioning procedures and improves patient safety.