There is no secret... practice, practice, practice. When I did my first FMQ, my quilt was 110 X 95. I put it aside and made a small one. I practice on it and then attack my big one. I have the Pfaff quilter's box and in it there is a ring that is rubbery under so it grips the fabric. There is also the Machingers quilting gloves that are nice to work with. Also, do a test with the same fabric and same batting to make sure that the thread tension is good. Then practice on that piece and go for it. It's only by doing it that you are going to get better. For the design, I often draw it on paper (golden threads or paper use on a bed in a doctor office) and then quilt on it and tear it after. Maybe not a good idea for a newbie?!? You could draw your design on the quilt making sure the lines will disappear. Like Holice said, search the web for tutorials. I recently discover Leah Day and found her very helpful. Remember, you have to relax, keep your shoulders down and inhale!! I could do it so can you!! Have fun.