I don't do applique. Well, I will do some applique, like I made a baby quilt with 5-6 fish that were probably about 6". But never will I do those gorgeous tiny grapes or other fancy stuff. I'm not good with handwork and it makes me cranky. Getting better could happen but I still get cranky when I put a needle in my hand instead of my machine.
I have vision issues and it's getting harder to sew, these days I focus on "simple but effective". Still, with all the tools and aids and paper piecing there is a lot I could do should I choose...