An ambulatory assistance device is provided, having a base that supports an individual in a generally upright position. A forward support frame is provided for engagement between the individual's upper extremities and the operating surface. Forward ambulation may be achieved by shifting the individual's mass toward one side of the device and then pulling on the support frame to pivot the opposite side of the device in a generally forward direction. Repeating the process in a mirror fashion moves the other side of the individual and the device in a generally forward direction. Optional platforms and foot restraints are provided for positioning and securing the individual on the base. Various base configurations are provided to adjust the performance of the device according to conditions.