Prevention of pressure damage remains a hot topic that is never out of headlines. While the cushion is one of many tools that can support patients in an armchair or sofa, a number of issues surround its use. As clinicians, we want the use of equipment such as cushions to be supported by plentiful research and clinical evidence. However, both clinicians and manufacturers often appear to neglect the cushion in comparison with the mattress; this is particularly the case as people use cushions in a different way to mattresses. This article highlights current limitations and assessment observations regarding pressure damage prevention and posture correction with cushions.