A patient positioning couch includes an illumination apparatus having at least one light source that is arranged in the patient positioning couch. The patient positioning couch is capable of being placed in an examination area of a medical device. Through the arrangement of the at least one light source of the illumination apparatus of the patient positioning couch, it is always ensured that the illumination does not lose its location relative to a patient or another object positioned on the patient positioning couch, even if the position of the patient positioning couch changes, e.g. if the patient positioning couch is moved into or out of the examination area. At the same time an especially space-saving illumination of the examination area can thus be achieved.