A footwear product with an integrated active temperature control system comprising: an upper; a sole comprising an insole comprising one or more thermo-conductive inserts or plugs; a midsole disposed between the insole and an outsole; wherein the midsole comprises one or more cooling elements selected from the group consisting of: an air flow cooling element, a liquid cooling element, a thermoelectric cooling element; and one or more heat sinks disposed in the midsole, outsole or between the midsole and outsole.