The ABC Stirrup is a revolutionary hybrid stirrup that combines the essential surgical site exposure of a candy-cane stirrup with the patient safety of a booted stirrup. Traditional candy-cane stirrups are preferred for high Lithotomy posturing since multiple team members can work comfortably in the surgical field. Unfortunately, they can also allow extreme abduction or hyperextension of the knee and hyper-rotation of the hip, which can result in patient injury. Traditional booted stirrups are preferred for most Lithotomy postures as they can provide safe, secure lower extremity alignment. However, when used in high Lithotomy, the straight stirrup rod interferes with surgical site access. The ABC Stirrup combines the best features of these two stirrups, providing safe patient posturing and comfortable, ergonomic surgical site access for multiple team members.