Liftingchic, try different ones. I first had a mouth mask with nasal pillows. I'd wake up because of dry mouth, nose hurting due to the air pressure/dryness and the pillows would blow out of my nose. I like the idea of the pillows though. I decreased the air pressure on my left nostril by putting a rubber band around the base of the pillow. My skin around the edge of my nostril was irritated, so I cut a piece of flannel with two holes and put them under the rubber bands. I then made a strap with flannel and velcro to hold the pillows in my nose.. I still had problems though. I now have a nasal mask and love it. Not the gel kind (that irritated my skin), but with a rubber cushion. Also switched my machine for a Fisher/Paykel Sleep Style 600. This machine puts out more humidity and comes with heated coils in the tubing. Hence, rain out is less likely so you can do higher humidity. With the nasal mask I could actually turn down the humidity. A feature I liked on the old machine that this one doesn't have is that when you breathe out the air pressure goes down. But I've gotten useto this. Also I purchased on-line a filter that attaches to the tube but before the mask. Was surprised by how much dirt was captured by this filter even though the machine has a filter too! Would recommend getting the filter to everyone. Check it out on cpapexchange.com. You really have to hang in there to get useto it. In the beginning I also experienced some chest soreness. I guess from the air pressure blowing up my lungs, but that has gone away. Another thing I did...with the nasal mask I have this plastic thing across my forehead. Couldn't stand the two cushions on it. They created pressure points on my forehead and hurt. So, I took the cushions off and now cut a piece of a hand towel and put that between my forehead and the hard plastic. Now no problems! Yes, I really worked at making this work. I watched a TV show about a person who had a heart attack because they had sleep apnea and their heart just couldn't handle the stress anymore. Convinced me! Get creative! :smile: