A spine and neck support device adapted to support the anatomical structures in the cervical and upper thoracic spine when the users neck is in flexion. A cushion conforms about the users anatomical neck structures and rests on the upper chest of the user. The cushion has a chin support area that avoids contacting the users chin when the users head is in a neutral position and contacts the users chin when the users neck is in flexion. When the users neck is flexed and the users chin contacts the chin support area, the cushion unloads and supports the users neck. At least one and preferably two straps are attached to the cushion and secure it to the user. The top is sloped downwards from back to front to maximize the users downward field of vision. A groove in the posterior surface of the cushion accommodates the users trachea/esophagus.