A ventilation or CPAP interface system adapted to be inserted into a nares of a user to secure the interface. A cannula adapted to be connected to a source of ventilation gas forms a first portion of an input gas flow passage to supply the ventilation gas to the user. A nasal insert adapted to be inserted the nares of the user forms a second portion of the input gas flow passage from the cannula to a distal end of the nasal insert. A seal portion adapted to engage a portion of the first naris is provided adjacent the distal end of the nasal insert. Ventilation interface system may optionally include feed tubes, y-connector, tube holder, headgear and a headgear flange.