The very first quilt I made was made for my daughter and it was hand quilted, although it was some years ago. Unfortunately, too many years spent as a secretary and I developed carpal tunnel syndrome. In order to keep working and to keep quilting, I switched to machine quilting, although the hand quilting was very relaxing. My cat preferred it too as he could bat the quilt and the needle while I quilted, he only tried that once with the sewing machine. LOL. I can probably hand quilt small items, but my wrists don't want to cooperate, unfortunately.