My bed happens to be pretty high so I use it. I can pin the top and one side to the bedspread or to the mattress if it happens on wash day. I pin the lining all around the bed, add the batting then the top. Because the lining is straight with the mattress I start on that corner with the top. I pin with safety pins all the area I can reach from on side the move everything over to get the rest of the quilt up where I can finish pinning. Works great for me.