I have an old hospital/ER gurney similar to the one pictured minus the padding. Originally I planned to scrap it but it is just to nice. It has a very easy/smooth hydraulic lift and lower mechanism (non electrical) and it can be angled either direction (head up or down). The wheels are large and sturdy and can be locked. I hate to just scrap this when I know someone more creative than I can think of a way to convert the hydraulics into something cool/useful. Just to clarify: you use your foot to pump up the bed and press another foot pedal to lower it. Thanks for any help!!