An operating table arm board arm sleeve is disclosed, comprising a first rectangular flexible material having left and right edges extending substantially parallel to a longitudinal axis of the arm board between proximal and distal ends of a top side of the arm sleeve; and a bottom side comprising a second rectangular flexible material having left and right edges extending substantially parallel to the longitudinal axis between proximal and distal ends of the bottom side of the arm sleeve, the bottom side having a length and width equal to the length and width of the top side, the bottom side distal end attached to the top side distal end and cooperating to form a closed distal end, the left edge of the bottom side fastenable to the left edge of the top side, and the right edge of the bottom side fastenable to the right edge of the top side.