Abstract: A spine cooling device is configured to hold the evaporative cooling textile in contact with a wearer's skin, particularly in a location between the wearer's hips and extending toward the wearer's tailbone. The spine cooling device has a pocket to hold the evaporative cooling textile, which textile can be periodically re-wetted while the spine cooling device remains in place on the wearer. The spine cooling device facilitates direct contact between the evaporative cooling textile and the wearer's skin, and is worn beneath the wearer's clothes. However, the device includes a water resistant layer placed to prevent the evaporative cooling textile from wetting the wearer's clothes.