nannysmith, One of the most frequent alterations I do is take up the shoulders of a garment. I do this on ready wear, but I'm sure it could be a pattern alteration as well. You will be amazed at how everything falls into place when you pinch an inch or so out of the shoulder area of a top or dress that is too big. The bust snugs up, the neckline goes where it belongs and the armholes get smaller. Of course, tapering the sides as sewhappy1221 mentions might be necessary as well. Also, if you have a collar, it may not be worth the trouble. Good luck and take digital pictures along the way so you can remember how to put things back together! Maripat