I use to use it when I started hand-quilting because I just couldn't get use to a rigid metal or plastic thimble (still can't). I mostly used it for my under (needle receiving) finger. It worked fine, cheap to replace as it wore out, but I found I was always having to "tweeze" tiny bits out of the back of the quilt where the needle picked up bits. I have discovered "Thimble It" plastic pads that stick on and they work great-cheap enough you can change them often while quilting (I cut them in 1/2 to make them go further).