A person support system is disclosed that includes cooling features to provide focal cooling to a subject supported by the person support system. Embodiments of the person support system include a longitudinal frame having at least one side rail, a deck position on the longitudinal frame, a support pad positioned on the deck, and a cooling source thermally coupled to the deck. The deck is a thermally conductive material. The cooling source draws heat from a portion of the support pad, through the top surface of the deck, and through the deck thereby cooling the portion of the support pad. The cooling source may be positioned in the side rail or directly to a bottom surface of the deck. Cooling systems that are removeably coupleable to person support systems are also disclosed.