An in-bed patient-positioning and manipulation system for moving patients within their bed. The in-bed patient-positioning and manipulation system comprises: a conveyor sheet; at least one housing unit having, a roller located therein comprising a shaft; at least one gearing cluster; a power source; and a remote. The conveyor sheet is connected to the roller(s) with the roller(s) being housed within inner volume(s) of the housing unit. The two housing units are mounted under each end of a hospital (or other) bed. There is one long sheet, which is rolled and sequentially stored in the housing units and along the upper surface of the bed. The sheet will retract back once the control on the included remote is pressed. Further, the conveyor sheet is able to be rolled and unrolled to manipulate a relative position of a patient residing in the bed.