I hand quilt and machine quilt. If it's something that I will keep and love forever, I hand quilt. If it's something I need for a quick baby gift, or something for a nursing home, I'll machine quilt it. I usually SITD, not having quite mastered fmq yet. I recently found a large hoop that sits on the floor, but is very adjustable. I can pull the hoop toward me or away from me and raise it or lower it, so it is making my hand quilting much more enjoyable and a lot less painful!