A rotating and articulating bed includes a fixed bed frame with a horizontal support surface, an articulating bed member and a rotating and pivoting frame mounted on the horizontal support surface and in communication with the articulating bed member. The rotating and pivoting frame includes a bearing plate and a plurality of discrete bearings disposed between the bearing plate and the horizontal support surface. The rotating and pivoting frame is rotatable with respect to the horizontal support surface on the plurality of discrete bearings around a vertical axis passing through the horizontal support surface.