A gurney is provided for a patient wearing a spica cast with a fixed bar extending between the legs. The gurney includes a base structure, a platform for holding the patient, and a bar support structure coupled to the platform. The platform is coupled to the base structure and is capable of being in at least one elevated position. The bar support structure supports the bar so as to support the patient when the platform is in the elevated position. In one embodiment, the gurney further includes a motorized elevation variance system coupled between the platform and the base structure for changing the elevated position of the platform, and the platform is rigid so as to always be substantially planar.