Medium format refers to the size of your roll of film (or if you’re talking digital, it’s the size of the camera sensor). It really just means that you are shooting on a bigger piece of film than you do with a 35mm camera. The increased size of medium format film means a much larger negative. This will give you finer details and less grain.
Choosing your Right Medium Format Camera
Twin Lens Reflex (TLRS)
TLRs use two objective lens of the same focal length. The photographic objective lens is the one that is used to take the picture. The other lens, called the view lens, is connected to the viewfinder. Most TLRs are fixed focal length, and the more expensive models may incorporate a rudimentary room function. Most TLRs use a leaf shutter system, resulting in high speeds, quiet operation and low shutter vibration. There are also close-up, wide angle and telephoto adapters for TLRs.