A protective pillow for post-surgical use has a pliable yet firm inner incision pad and a stiff outer board. The outer board has handles on one side and is attached on the other side to the incision pad by use of hook-and-pile fasteners. The incision pad is soft yet pliable. The pad has one side with a cushioned surface. The cushioned surface has a long groove cut out from the inner part of the pad. The other side of the pad is attached to the outer board by hook-and-pile fasteners. The fasteners allow the post-surgical patient to orient the incision groove in any direction desirable so as to align the groove with the actual incision. The handles on the outer board always remain essentially horizontal while the incision pad is oriented in the same direction as the incision. The pad and board may be removed for easy cleaning or replacement.