I started when I was 8 and grandma who was a men's tailor said I couldn't sew without one. Turns out she was right. After all these years now I can't. I do like the goat leather ones but its hard to find the extra small. Usually get 1 or 2 when I see them. Dog thinks they are chew toys! I put it on my ring finger on my right hand, use the first 3 fingers to shape the stitch then push the needle through with thimble. Unless you are talking hand quilting then you are out of my league.