Monorail vs X-Y Hoisting System: Which is best?

If you’ve read our blogs before, you’ll know we often talk about monorail (also known as straight tracks) and an X-Y hoisting system (sometimes referred to as H-frames), including the different layouts and fixings that can be used with each. We can even specify and install X-Y systems that connect the straight tracks and vice versa. Both systems have their pros and cons. But which is best, a monorail or a X-Y system?


One of the key things to think about when specifying a hoisting system is the level of accessibility needed in the environment. Straight tracks are a simple solution, and can be designed to pass over specific pick-up points in the room. For example, if you were installing a straight track in a bathroom, the hoist would need to be able to transfer to and from the toilet, bath/shower, and sink. A monorail layout can be designed to cater to these needs, providing straightforward transferring facilities.

However, if you’re looking for a more flexible accessibility, we suggest a X-Y system. This can give the user coverage of the entire room, and is much more adaptable than a monorail track. The X-Y system consists of 2 parallel fixed rails installed at either side of the room, with a moving traverse rail hung between them. The hoist unit is then mounted on the traverse rail, giving it full range of the room.

A X-Y hoist system installed above a bathroom, giving access to the bath, sink, toilet, and changing bench with ease
X-Y hoist systems offer flexible transfers anywhere in the room, making them an ideal choice for bathrooms like this one.


In terms of how the hoist looks, a X-Y system can be made subtler using our AirGlide360 inset tracking. This is something we offer to combat the problems of low ceilings, and low-hanging hoist systems that don’t necessarily blend in with the room. We use inset tracking on the 2 parallel fixed rails so that they are fitted flush to the ceiling, and therefore only the traverse rail is hung below the finished ceiling height.

On the other hand, a straight track can blend in a little easier than a X-Y hoisting system simply because it can all be inset to the ceiling. Again, we would use our AirGlide360 inset tracking to install the hoist system directly into the ceiling. This means that the only component of the overhead hoisting system that would be hanging from the ceiling is the hoist unit itself. We find that this option is particularly popular in hotels, where facilities need to be accessible without ruining the décor of the building.

A straight track hoist system installed a hotel bathroom
Straight tracks can sometimes be more subtle, particularly in hotels like this one.


The cost of the hoisting system may also determine which layout you wish to go for. The price of an overhead patient lifting system is determined on a case-by-case basis, and of course, it all depends on the size of the room and the various pick-up points that need to be included in the design.

Generally, we estimate that a monorail layout is about 30% cheaper than a X-Y system. This is because a X-Y system uses more parts and more track than a standard monorail layout. That being said, if you need a flexible hoisting system that can cater to a range of different users’ needs and abilities, then a X-Y hoisting system is the best way to go.


It’s difficult to determine which hoisting system is the best one simply because it depends on what you’re looking for and what you need in terms of accessibility, aesthetics, and cost. It’s very clear in some cases that one supersedes the other one.

We recommend that you discuss your accessibility needs with a hoisting specialist first so that they can advise you one which configurations is best for your situation.

Let us help you decide

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