Same as for righties....practice, practice, practice. Trying varying your needle, longer or shorter, I like shorter for smaller stitches. Kep your fabric tension a little loose, but smooth. And use your other hand to poke from underneath to help the needle go throught the fabric for shorter stitches. Start with trying 2 sttches and work your way up to 3 or 4. Any more than that is too hard. Good luck, and happy quilting!