In all the many discussions I've read and taken part in on this subject none of the reasons to not use 120 in a 220 back have ever made much sense to me. As Bob H. said the addition of a paper back cant force the film into the body farther than the frame rails. Just isn't going to happen, the body is in the way. I've heard that the pressure plates of the two backs have differing amounts of force due to one being setup for a paper backing and the other not. We're talking a very minor difference in thickness which would warrant no or very small amounts of pressure change. If such a small difference mattered then our old backs wouldn't work anymore as the old springs have lost much of their original tension. I have been told that Mamiya said not to do it but I'd expect that, they want to sell everyone both backs, not just a bunch of 220s. Then there's the problem of tension on the mechanism as you pull the 120 film through a 220 back, increased strain due to the paper backing. From a manufacturing perspective it makes no sense. The slight difference in part design between the two backs would add huge costs to manufacture. If there is a difference between the two film types, then both backs would use the stronger part. I'm tempted to take a couple of these apart to see whats different between the two but I don't have any spares to sacrifice. Anyone have a broken insert to send me I'll rip em apart and document the differences. I doubt there are any other than those related to frame count.