Abstract: The mattress with chest aperture is a cushion designed for use on a flat surface, such as a massage table. The mattress with chest aperture has at least a body support pad and may also include a chest support pad. The chest support pad is disposed under the body pad. The body pad has a selectively closable chest aperture extending through the pad that is closed by a chest insert pad. The chest insert pad is removed from the selectively closable chest aperture to form a chest cavity for massaging a person lying in a prone position. The top surface of the body pad, the chest insert pad, and the chest support pad may be an egg crate-like surface.