A hot stone therapy and acupressure roller including a specially designed rod where hollow, cylindrical stones, along with acupressure pins, are spaced along the rod. As the rod is applied to the body, the attached stones roll and acupressure may be applied. Targeted acupressure can be applied on either side of the rod, and the acupressure pins serve to bold the cylindrical stones and spacers in place. The stones can be inserted onto the rod or used individually. The stones can be used to conduct a cold and/or hot stone massage. Additionally, each end of the rod is shaped for use as a massage tool. When using either end of the rod as a massage tool, the acupressure pins serve to improve grip and increase leverage.