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Living in Montana since '99 I don't have the opportunity to hang deer much any more, as Montana is Indian for land with no trees, but when I lived in Georgia I preferred to gut hanging head down, was much cleaner for me.Had a buddy that insisted on doing vertical dress. We gutted a few deer together and he hit the sh** sack every time. I can handle some pretty heavy stink and that one would gag a billy goat. Definitely cleaner and easier if done correctly though.