This set includes the Base Pillow, Headrest, Arm Supports, HELP Plus, Sinus as well as the Arm Supports Plus for added height to avoid strain to the brachial plexus. It also includes the Oxford Cuneos, small wedges to give support behind the shoulders where excess adipose tissue between the scapulas prevents the shoulders from lying flat. This set provides full support for hyper obese patients, ensuring optimal physiology and eliminating risk of neural damage.