Not necessarily Bonnie, I've been making pasta since I was a kid and used to help my grandmother make it (some 50+ yrs ago) LOL.
Never used/owned a pasta machine, always just rolled it out by hand (still do it that way), and cut it with a knife, LOL. Of course we never made any "fancy" shapes, just fettuccine, "thin" fettuccine, "rags" which are wider than fettuccine (like "mafalde" without the curly edges), lasagne sheets, cavatelli (hand shaped), and ravioli. If you wanted a "fancy shape" they usually came from the neighborhood Italian deli or out of a *Ronzoni box, LOL.
I kind of like the fact that each strand of my fettuccine isn't "exactly" the same width (although it is the exact same thickness), it gives the "homemades" more of a rustic/artisan look.
*These days when I buy dry macaroni/pasta it is either an imported brand or Barilla (haven't used Ronzoni since the early 70's).