Yes, if you allow an extra 3-4 inches of backing on the top and bottom you can get the whole quilt without turning the rails around. I had one baby quilt that my backing had no extra and I had to turn it around to get the last little bit of quilting on the bottom. This is not a huge problem as long as you have someone to give you a hand and enough space to turn the rails end for end in your quilting room. I have made up to queen size and by the time I get to the end the takeup rail has enough quilt on it that I end up with about 6 inches of quilting space, but that is still 1/2" more than I had on my conventional machine.