I have done it on a few quilts and really like the look. Years ago I did regular hand quilting, but after having hand surgery 10 years ago, I can't really do the fine hand quilting/sewing anymore so when I do feel like quilting by hand, it is utility stitch quilting for me. It isn't hard to do, goes a lot faster than traditional quilting. I use the pearl cotton and a chenille needle to do the stitch.