A cranial spinal column support assembly includes a base having a first end, a second end, an upper surface and a lower surface. A support frame is attached to and extends upwardly from the upper surface. The support frame is positioned generally adjacent to the first end of the base. A mounting is positioned on the support frame and is selectively positioned between an upper portion of the support frame and a lower portion of the support frame. A securing member is adapted for releasably securing the mounting to the frame in a fixed position. A head support is mounted to and extends outwardly away from the mounting. The head support includes a face receiving member for receiving a head in a downward facing position.