A repositionable surface electrode of patient monitoring includes an active electrode layer having a top surface and a bottom surface and a leadwire connected to the active electrode layer. A first substrate has a top side, a bottom side, and a hole there through. The first substrate is positioned below the bottom surface of the active electrode layer such that the hole is aligned with the active electrode layer. An electrode gel channel is configured to conduct potentials from the patient's skin to the active electrode layer, the electrode gel channel extending through the hole in the first substrate. A silicone layer is on the bottom side of the first substrate, avoiding the hole and the electrode channel, which is configured to adhere the surface electrode to the patient's skin and to be removed from the patient's skin without becoming saturated with skin cells such that the electrode repositionable on the patient.
