I've used all kinds of methods--mostly the sleeve on the back with a dowel through it--then a nail on each side. But a couple years ago I bought the wooden clips that KQ sells. they are nice. One nail in the wall for each clip and the clip has a screw to tighten to hold the top edge of the quilt. Can use 3 for about 48" and 5 for a longer quilt. Makes changing out the quilts for season pretty easy--esp. if the quilts are similar in size.