An integrated pressure compensating heat exchanger and method of use are provided. The integrated pressure compensating heat exchanger includes an inlet configured to input an internal fluid; a first conductive bellows connected to the inlet, configured to accept the internal fluid from the inlet, configured to transfer heat between the internal fluid and an external fluid, and configured to compensate for a pressure by compressing in length; and an outlet configured to accept the internal fluid from the first conductive bellows and to output the internal fluid.