This system includes 1 pair of Altima legholders, 1 set of restraint straps, 1 set of disposable foam pads, and 1 set of pressure management pads. The Altima leg positioning system was designed for full range flexibility and multi-positioning requirements. It provides your patients with superior comfort when in a lithotomy position. Altima legholders have a solid stainless steel adjustable extension bar for flexible positioning, and are ideal for positioning patients of any height. Super clamps or Clamp-Tite clark sockets (sold separately) are recommended for mounting this legholder to the surgical table. This system does come with 1 set of restraint straps, 1 set of disposable foam pads, and 1 set of pressure management pads, but extra replacement straps, disposable pads, memory foam pads, and gel pads are available for this legholder.