For the vast majority of users it is the mask that seems to cause the most problems. It appears that manufactures think we fit into a three or four facial types and there are so many variables among each of us that it is difficult to find the mask that works the best.

I probably went through a dozen mask before I found the one that I currently use and have for the last year. Unfortunately the DME did not tell me that you can typically exchange your mask within thirty days if it doesn't work for you. Since insurance only allows a new mask and headgear every six months I purchased my masks out of pocket. No way could I afford them at the DME -- which typically charges way more for the mask. I sought ways in which to lower the cost tremendously. I made exchanges with other cpap users -- just gave the masks a thorough washing prior to using. At cpaptalk.com several members are running what is known as "test drives". This is were if you want to try a particular mask you pm the person that has the mask (there is a thread that indicates who is participating in this) and they will send it to you for you to try for a week or so. All you have to do is pay postage. A great way to try different mask without alot of expense. There is also www.cpapauction.com that offers mask at auction. You can get brand new masks for a fraction of the cost of new. This is how I purchased my masks that I own. You can pick up masks for as little as a few dollars.

Have your tried any modifications to your masks? Some find that a seal made with Mack's silicone ear plugs rolled into a thin rope and put around the seal makes a better seal for them.

For me, the headgear on my mask is too large and it is adjusted to the smallest available size. I use a wide elastic headband around it to help secure it and it works wonders. I would not be able to use this mask without this modification and it is by far my favorite mask. I have consistently low numbers and feel better when I use it.

Good luck on your quest for your favorite mask.