Simple concept, again make sure your tissues (between 8-10 sheets) are perfectly square. Fold in accordion fashion. I staple the folds right in the middle. I then tie my string (about 2.5 feet in length so they can hang down from the ceiling) around the fold in the center. I staple the folds once again making sure I stapled over the string knot to keep it centered. Then round off the edges with scissors. Fluff and done!