A foot-activated controller (70) for an imaging system (10) is disclosed. The foot-activated controller (70) may include a first controller section (80) and a second controller section (90) that may be disposed in each of a joined or separated state or configuration. The first controller section (80) may incorporate one or more first actuators (86) that are dedicated to communicating with one or more components that provide an imaging functionality (e.g., an imaging assembly (12)), while the second controller section (90) may incorporate one or more second actuators (96) that are dedicated to communicating with one or more components that provide a physical positioning functionality (e.g., a table positioner 38, where the table positioner (38) may be activated to control/establish the position of a table (32) on which a patient may be positioned for performance of one or more medical procedures (e.g., urology)).