A temperature management pad includes a patient facing side, a cushioning layer for supporting the patient facing side above a surface, a cooling component located in, on, or adjacent the cushioning layer for cooling the patient facing side of the pad for cooling a patient lying thereon, wherein the cooling component includes a conduit formed between the patient facing side and the cushioning layer for circulating fluid through the pad across the cushioning layer. The cushioning layer comprises a gel cushioning layer with a continuous upper surface supporting the patient facing side, which includes channels formed therein. The conduit is supported in the channels for circulating fluid laterally across the gel cushioning layer and through the pad.
