An arm board securement arrangement for comfortably and safely securing a patient's arm to an arm board during an operative procedure, comprising a flexible sheet of conformable material having a first end and a second end, and a first side and a second side with a central portion therebetween. A plurality of spaced apart wrap members extend from the central portion on the first side thereof. A plurality of spaced apart wrap members extending on the second side from the central portion. A gripping or securement member is arranged on each of the wrap members to permit the wrap members to correspondingly engage one another about an arm of a patient.