A cushioned head support device for safely and comfortably supporting a patient's head during procedures where the patient is positioned face down. The device affords easy access to the patient's face, providing multiple suitable openings for inserting medical devices as well as for viewing the patient. A mirror is provided so that medical personnel may view the patient's face conveniently and easily while working above the patient. The device is readily adjustable in multiple dimensions, providing for adjustment to accommodate any size face or head, as well as adjustments to raise or lower the height of the device or to tilt the device in any direction. The invention further comprises disposable cushions in various sizes to accommodate children as well as adults.