Described is a cotton surface nursing pad having both a proximal side and distal side. The proximal side is formed of a surface layer made of certified organic cotton, while the distal side is formed of a leakproof film later. Sandwiched between the surface layer and leakproof film layer are a first tissue layer, an absorbent core layer, and a second tissue layer. Notably, the absorbent core layer is formed of a combination of super absorbent polymer and fluff pulp, while the certified organic cotton is woven together using a half-cross pattern to form the surface layer.