A thermal microclimate surface, being a pad, pillow, or mattress, or an overlay which may have a strap which may allow the device to be secured to a mattress or bed, comprising: a base portion wherein the base portion has a top, a bottom, a front, a back, a first side and a second side; a plurality of pillars wherein the plurality of pillars have a top, a bottom, a front, a back, a first side and a second side; wherein the bottom of the plurality of pillars is permanently secured to the top of the base portion; a space forming a channel located between two of the plurality of pillars wherein the first side of one pillar, the second side of an adjacent pillar and the top of the base portion form the space forming a channel; wherein a top and sides of the plurality of pillars are movable largely independently from one another while the bottom of the pillars remain generally stationary; the thermal microclimate surface further comprising: a tube having a first end, a second end and a diameter wherein the tube is inserted within the space between two of the plurality of pillars or directly through an opening in the center of the plurality of pillars and wherein the tube is secured by the space between the plurality of pillars or the opening in the center of the plurality of pillars, wherein a heating or cooling gas or liquid is inserted within the tube and wherein the heating or cooling gas or liquid is used to heat or cool a part of a body of a person, characterised by a first channel located on the top of each of the plurality of pillars and a second channel located on the top of each of the plurality of pillars wherein the first channel and the second channel are perpendicular to each other and wherein the first channel and the second channel allow the tube or a metallic wire connected to a thermoelectric cell to be secured over the top of each of the plurality of pillars and prevent the tube or wire from falling off the top of the plurality of pillars. a base portion wherein the base portion has a top, a bottom, a front, a back, a first side and a second side; a plurality of pillars wherein the plurality of pillars have a top, a bottom, a front, a back, a first side and a second side; wherein the bottom of the plurality of pillars is permanently secured to the top of the base portion; a space forming a channel located between two of the plurality of pillars wherein the first side of one pillar, the second side of an adjacent pillar and the top of the base portion form the space forming a channel; wherein a top and sides of the plurality of pillars are movable largely independently from one another while the bottom of the pillars remain generally stationary; the thermal microclimate surface further comprising: a tube having a first end, a second end and a diameter wherein the tube is inserted within the space between two of the plurality of pillars or directly through an opening in the center of the plurality of pillars and wherein the tube is secured by the space between the plurality of pillars or the opening in the center of the plurality of pillars, wherein a heating or cooling gas or liquid is inserted within the tube and wherein the heating or cooling gas or liquid is used to heat or cool a part of a body of a person, characterised by a first channel located on the top of each of the plurality of pillars and a second channel located on the top of each of the plurality of pillars wherein the first channel and the second channel are perpendicular to each other and wherein the first channel and the second channel allow the tube or a metallic wire connected to a thermoelectric cell to be secured over the top of each of the plurality of pillars and prevent the tube or wire from falling off the top of the plurality of pillars. a tube having a first end, a second end and a diameter wherein the tube is inserted within the space between two of the plurality of pillars or directly through an opening in the center of the plurality of pillars and wherein the tube is secured by the space between the plurality of pillars or the opening in the center of the plurality of pillars, wherein a heating or cooling gas or liquid is inserted within the tube and wherein the heating or cooling gas or liquid is used to heat or cool a part of a body of a person, characterised by a first channel located on the top of each of the plurality of pillars and a second channel located on the top of each of the plurality of pillars wherein the first channel and the second channel are perpendicular to each other and wherein the first channel and the second channel allow the tube or a metallic wire connected to a thermoelectric cell to be secured over the top of each of the plurality of pillars and prevent the tube or wire from falling off the top of the plurality of pillars.