I have hand quilted without a hoop or frame. I pin or baste very well. Than I start quilting in the middle and move outward. I use my underneath hand to constantly smooth the backing as I go. Although with good basting or pining you shouldn't have a problem with tucks on the back. The weight of the quilt is often on a tv tray or pillows. It is fun to do in the winter as it can be warm!:):)