A cooling knee pad includes a housing having a base, a perimeter wall extending upwardly from the base, and an upper end defining an interior volume. A pad is affixed to the upper end of the housing. A power supply is operably connected to a cooling mechanism disposed within the interior volume of the housing. The cooling mechanism may include a Peltier cooling unit including a radiator, an electric fan, a water pump, and at least one buck converter. A pair of adjustable fasteners affixed to the housing is configured to secure the housing to a user such that the pad contacts a knee of the user. In this way, the user can kneel on the pad to comfortably support the knee and cool the knee with the cooling mechanism.