The Hawaiian quilting is so much fun to do. I have only done the 22" square size blocks, and I cut out with my regular scissors. I think I used the biggest ones I had. When I had to get around small areas, it was small enough, that I could pick it up, and cut where I needed to. One of these days, I will order a pattern to do a bigger quilt, but for learning I am doing the 22" squares and turning them into a sampler quilt. I have been teaching myself.