you cut shapes in the case of grandmothers flower garden it is ahexagon but you can do squares, circles, apple core, triangls, hearts, leafs, dresden plates,tumblers lots of shapes.. This is not a new thing. Women coming over the plains used this alot it gives very accurate seams even to a novice. They use to use old sears and rowbuck catalogs as there template patterns. If you ever find an old quilt that rustles like paper. It was paper pieced and has never been laundered. basic instructions cut paperin size and shape of finished pattern piece then cut paper 1/4 inch bigger all the way around. Bast fabric to paper and bast fabric in to the shape of the paper by folding down the edges and basting them in place. then whip stitch the edges of two blocks and go on this way( this is very over simplified I don't someone could do it from these instructions it was just to give you the general idea. It is agreat take along and traveling type of quilt as the pieces fit neatly in a bag. I like it alot. Some of my friens say a bit to much as I do miniture where the sides of the my hexagon are only 1/4 an inch big this is the finished size of my block but I have also done larger ones up to 1 1/2 inches per side I have seen as large as 5 inch block a little to unwildy for me. you can buy supplies ( paper) already cut I do that saves time and is very accuate ( die cut) now days people do not leave in the paper they reuse them as they are made out of card stock. Very handy this way