An ergonomic support surface (2) is disclosed that supports a user's hand or wrist while moving in contact with the ergonomic support surface (2) to control a hand activated device, for example, a computer mouse on a mouse pad (6). The ergonomic support surface (2) may comprise a base (4) with a support structure (7) upon which the user's wrist or hand rests. The support structure (7) provides a massaging member, for example, a roller (8) that imparts a massaging action to the user's hand or wrist while the user's hand or wrist moves in contact with the supporting structure (7).