Abstract: A T-slot rail quilt, textile and media hanger has a generally flat mounting rail that attaches to a wall via one or more T-slotted grooves on its rear surface. The apparatus incorporates a second T-slotted groove on its front surface to which a plurality of suspension units can be attached. The suspension units utilize a screw, knob, arm and jaw to securely hold the quilt, textile, or other media to the rail without damaging the item and can be quickly loosened to reposition or remove the hanging item. Permanent contact point stresses on the item are minimized. Additionally, a third T-slotted groove can be added to the top surface of the rail to provide attachment points for a shelf or other items.