The First Step Advantage™ has come up with a mattress Replacement System which is based on Smart Surface Technology to give maximum possible comfort to the patients. Smart Surface Technology allows Advanced pressure redistribution with low air loss therapy. The advanced pressure redistribution technology can control air pressures depending on patients? positioning and mobility. The air pressure therapy and medical fabric of the mattress replacement system can control the moisture level and micro climate of the skin and restrict tissue damage of the skin by preventing fluid and bacteria. The First Step Advantage mattress replacement system can provide optimal pressure for ulcer treatment and ulcer prevention. In order to prevent additional skin damage for ulcer patients of stage I and II not at risk, mattress replacement system can be used. It can be used to prevent skin damage for Stage III and IV pressure ulcer patients not at risk.