I do as little as possible. I have a neck injury from a car accident 25 years ago and have a pinched nerve. This coupled with my carpal tunnel ( a result of compensating for the nerve impingement) makes it impossible for me to do anything that requires fine motor skills. I cannot grip a needle for any length of time due to its size. My entire hand goes to sleep and then the pain and tingling begins. So I do my binding by machine too. It would take me months to hand sew a binding on a quilt. I have no intentions of ever entering a quilt in a quilt show, which hand sewing on a binding is a requirement.