Few people quilt without marking the design in some way. That's all the paper does. SITD uses lines already on the quilt. Some long arm quilters use a laser to guide the machine. Some don't use a pattern some or all of the time. Some do the quilting by hand; some by sewing machine; some by a quilting machine. Some use frames; some don't. Some people live to piece; some swear by appliqué. Some people pay to have someone else quilt the top. They are all "real" quilters. And so are you. Now, you go, girl.