I mostly use the Golden Threads. It is a pain to pick out the paper afterwards but you have saved time by not having to mark the whole quilt. I trace out my design of a piece of the paper, then cut out about 10-12 pieces the same size. Pin the original design on top of the pile of papers. Put a size 16 needle in your machine then free motion stitch the design on your sewing machine, without using thread. You now have multiple copies of your design to place on your quilt. I just pin them but you can buy sticky dots to hold them down. This works best with relatively simple designs that you can easily see when you're looking at just holes in the paper. It's also a great way to do borders. A border design doesn't always work out well depending on the length of the border. Using the paper I can cut out pieces of a design and space them out on a border without having to do a lot of math to make the design fit.