Practice! I use my Baby Lock Quilter's choice which does not have a large throat, and just do it, but I admit my shoulders are tired when I'm done with all the moving around. I sometimes practice drawing the pattern, to get it into my mind, then just do it. I've decided that my quilts will designed/cut/pieced/quilted by me, so I just keep practicing and just keep doing it. Not going to win any prizes, but they are done by me! The supreme slider, quilting gloves, and fully supporting the weight of the piece do make all the difference.