I don't make large quilts for that very reason. Even a throw sized quilt can be a bugger sometimes. I am using a machine in a cabinet which does help as Cari said. I put my ironing board against the back of my machine, I adjust the height so it's the same as my cabinet. I also put a small table to my left. It's still tricky. I love to make small wheelchair quilts for a local nursing home since the size is so manageable. I do FMQ.