A dual-sided electrode pad assembly is configured to be placed upon a patient's skin and includes an upper conductive gel layer, a middle conductive layer comprising a highly conductive foil, a highly conductive plastic film or a gel with suspended highly conductive particles, and a lower conductive gel layer. The upper and lower conductive gel layer comprise hydrogel, silicone or hydrocolloid. A removable upper and lower protective liner are disposed on the upper and lower conductive gel layers, wherein the upper and lower protective liners are larger in surface area in comparison to the upper conductive gel layer, the middle highly conductive layer and the lower conductive gel layer. The middle highly conductive layer may be smaller in surface area in comparison to the upper and lower conductive gel layers allowing a perimeter edge of the upper and lower conductive gel layers to be disposed past a perimeter edge of the middle highly conductive layer.
