With a multipage PDF as a Background image and a dedicated Patch List screen control for that PDF, you can then map the Next Patch and Previous Patch buttons at the bottom of the Patch List to navigate from one page to the next.
In MainStage, click the Edit button at the upper-left corner of the MainStage window (or press Command-2).
Select the Patch List screen control you wish to assign to the multipage PDF.
In the Attributes tab of the Screen Control Inspector, choose Image/PDF Object 1.
All the page numbers in your multipage PDF appear in the Patch List.
Click the Next Patch button at the bottom of the Patch List screen control.
In the Attributes tab of the Screen Control Inspector, select Override Concert Mapping.
In the Unmapped tab of the Screen Control Inspector, choose Actions > Image/PDF Objects > Image/PDF Object 1.
The name of the parameter tab changes to PDF Page.
In the Range Mode pop-up menu, choose Increase Value.
Repeat steps 5 and 6 for the Previous Patch button at the bottom of the Patch List screen control.
In the Range Mode pop-up menu, choose Decrease Value.
You can now click the Next Patch and Previous Patch buttons to move forward or backward one page at a time in your multipage PDF.
If you have multiple PDFs, follow the steps above for each Patch List screen control associated with each additional PDF, incrementing the numbering—so if you have two PDFs, in your second Patch List screen control in step 3 you would choose Image/PDF object 2, and so on.
You are not limited to only turning pages using the Next Patch and Previous Patch buttons below the Patch List screen control. Using the Assignments & Mappings tab, you can assign any assignable screen control to increase and decrease value. For example, if you wanted larger screen buttons to turn pages, you could use Drum Pad screen controls. Or if you wanted to turn pages using your MIDI keyboard, you could assign one key on your MIDI keyboard to increase and another key to decrease page numbers. See Overview of assignments and mappings in MainStage and Map MainStage screen controls to actions for comprehensive instructions on how to assign screen controls to parameters.