An elbow for a respiratory mask includes a mask connection end adapted to connect to the mask and a tube connection end adapted to connect to an air delivery tube that delivers breathable gas to a patient. The mask connection end includes a first region constructed of a more rigid material and a second region constructed of a more flexible material. The second region provides flexibility to one or more portions of the mask connection end to enable engagement and disengagement of the elbow with the mask and/or sealing of the elbow with the mask.