I use a lap hoop and I use between needles size 10 - I use a recessed thimble on my middle finger to push the needle through and pull the stitches up. I quilt right to left and downward towards myself. I do not stress about the size, etc of my sitches anymore - I make it fun now. I can sit for only about 2 hours the most at one time - otherwise I get bored. I have tried machine quilting once and it is okay but not for me. I admire the ones that do beautiful work with their machines. Handquilting is part of my therapy and I will never give this part up. :)