For chiropractors considering a significant investment in a red and infrared LED therapy bed, this article provides the first half of a crucial buyer's guide. These Class II medical devices, which use photobiomodulation (PBM) to relieve pain and increase circulation, can cost anywhere from $20,000 to over $150,000, making thorough research essential. The first seven considerations are detailed to help practitioners make an informed decision. Logistical factors are paramount, including measuring clinic space to accommodate the bed's large footprint and patient access, understanding the installation process, and confirming the necessary electrical power requirements. The guide also explores various bed configurations, such as top-and-bottom versus bottom-only coverage and flat versus ergonomic designs, each with distinct advantages. A critical clinical consideration is ensuring the bed offers therapeutically relevant wavelengths, particularly within the scientifically supported red (≈630-670 nm) and near-infrared (≈780-940 nm) ranges for tissue repair. Finally, the article advises scrutinizing the bed’s construction materials for durability and ease of sanitation, and verifying its regulatory status, including FDA clearance and quality certifications like MDSAP and ISO 13485, to ensure both safety and compliance in a clinical setting.