All you need is good support for your quilt. Some have been doing that with suspenders. I have a piece of board that inserts between the drawer and my cutting table so the quilt is support to my left side. I easily quilted my avatar queen size with a 7" throat on my Bernina 1530. If you see some picture from the 80s, we were taught to roll up the quilt and throw it on our shoulder. That NEVER worked for me !!