The directions call for needle-turn applique' (pieced hand quilting), but you can also use fusing to iron the fabric in place and machine stitch (Raw Edge applique') if you prefer. This art pattern by Hawaii Ana Quilt is designed to have a finished measurement of 18" x 18". You can make a pillow, quilt panel, table runner, wall hanging, etc. You can reduce the pattern at a print shop and make a tote bag, placemat, etc. You can also enlarge it to make a quilt up to 42" x 42".