An orthopedic cushioning device and system which includes a base cushion(s) and a plurality of smaller, modular cushion elements that may be changeably attached and arranged without tools or mechanical control systems onto the base cushion(s) and onto other cushion elements to form a custom surface topography. This cushioning system is a fully portable, lightweight support solution for the comfort of all people and especially for those with special orthopedic requirements and other physical problems. The system is adaptable to a wide variety human body sizes, shapes and forms. It may be used as an overlay on existing human support systems like chairs, wheelchairs, beds and vehicle seating. User reconfigurable, it does not require any external or internal power sources. The cushion elements may be methodically arranged over time to affect change in the relationship between the bones and their related connecting tissues, tendons, cartilage and ligaments of the user.