A patient interface device includes a headgear component having a first end, a second end, and a sealing interface region located between the first end and the second end, wherein the sealing interface region has a hole extending through the elongated fabric body member. The patient interface device also includes a mask component having a cushion and a fluid coupling conduit fluidly coupled to the cushion, wherein at least a portion of the fluid coupling conduit extends through the hole and the sealing interface region covers at least a portion of the cushion. The cushion will be held and supported by the elongated fabric body member in engagement with a portion of the patient's face responsive to the patient interface device being donned by the patient by wrapping the elongated fabric body member around the head of the patient.