I have used a dream station for years. I have never woken up refreshed. I sleep on my side(s) so I find myself flipping the hose a lot. I couldn't use the headgear that attaches the hose on top of your head. For international travel I am looking into a dental appliance supposedly approved by Medicare. I just did the home study and am waiting on my appointment to discuss the possibility of a dental appliance. I also know we can look at that surgical implant Inspire but I haven't seen enough studies yet on surgical issues, side effects, or efficacy.