I do my own quilting...nothing fancy just Stitch in the Ditch for now but it's my
own work. I might hire a Long Arm quilter one day for some fancy quilting.
Until then I'm quite happy doing it myself. I guess you can call it personal
satisfaction.
Edit: Forgot to add that I use a Janome 6600 which has a fairly large throat.
I've managed Full size quilts but haven't gone bigger yet. If I make anything
bigger I might consider quilting in section. As to managing the bulk, put
a table in front and an ironing board or another table on the side. Don't leave
the quilt hanging that's what makes it more difficult to handle. Some put their
sewing machine in a corner facing the wall so that their quilt doesn't drag.