Far fewer medium-format cameras are motorized, and medium-format roll film does not have sprocket holes, so loading often requires that marking on the backing paper of the film be lined up with markings on the camera, and on unloading, the backing paper must be carefully secured to protect the film from light.

120, 220 and 620 film

All medium-format cameras mass-produced today (as of 2024) use the 120 film format. Additionally, many are capable of using the 220 film format, effectively doubling

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