I'm basically a shamefully lazy person, so anything that takes patience is me being reeeally good. I have some quilting friends who make needle turn look like a walk in the park, but for me it is fairly hard, I'm not good at it. Particularly the inward turned curves. Larger, smoother curved designs are not so much trouble, but still, it's work.
I saw someone, maybe Eleanor Burns, do that thing where you sew right side down on some sheer interfacing or what-not, and then turn inside out;
or sew right side down onto water soluble stabilizer (expensive! Did I also mention I like to go cheap?) and then turn right side out;
either way, the hems are turned under for you and wahlah all done.
A lady I know taught a bunch of us how to do authentic Hawaiian quilting, and all needle turn, she's fantastic, I'm not!
I have an especial respect for work I know has been needleturned, I know how much work it is.