I learned this technique from a woman who lived in Hawaii. The traditional pattern is cut from folded fabric, much like we used to do to cut out snowflakes as children. It is then needle-turned applique' (new to me) and then "echo" quilted by hand. Quite a stretch outside of my box, but I really enjoyed it. I am going to turn it into a large tote bag. Others are choosing to make pillows, but I figure, one can never have too many bags (or is that diamonds, or shoes)? Hahaha.