It was quite daunting at first but once we got started it got easier. We used dollar store tissues paper, it rips, just go with it. I'm sure the expensive stuff rips too! Be gentle and it will work out. We used 5 to 12 sheets together and folded them into an (unmeasured) inch. Once it's all folded, wrap some craft wire (about 18 inches long) around the middle of it to hold the accordion together. Don't wrap it to tight, but enough to hold it together. You can tie the ends of the wire together to make a loop, to make it easier to attach string or ribbon to attach it to the ceiling. Cut the ends to be round or pointed, we chose pointed. You'll then flatten the accordion and spread out the folds, so that you have a flower/star looking shape. You'll then begin to gently pull apart the layers of tissue paper one by one from the centre. If you're using dollar store tissue paper, like we did, just be prepared for the paper to rip. Start on one side of the craft wire, and go from both ends of the tissue paper, to make it easier. Once you have a pompom finished, hold by the center and shake lightly to fluff out the pompom. Finished! Tie some ribbon around the center loop and hang from the ceiling. You can also scale down the tissue paper and make different sizes.