The present invention is a therapeutic seat cushion to alleviate pain when sitting such as tailbone, sit bone, pudendal nerve, post operative, or pelvic pain, or after childbirth or any other situation that may cause a user pain when sitting. The therapeutic seat cushion is adjustable and portable to suit a user's needs. The therapeutic seat cushion comprises a base and at least two cushions that are removably attachable to the base and which may be adjusted in any configuration upon the base to provide a user customized pain relief with stable, unmovable support. The therapeutic seat cushion has carry handles and may be folded in half to join the handles with a closure for easy portability.