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Hi. Sorry I haven't been on in a while. 32fr refers to the size of the tube they use to size around the stomach when they staple/stitch it back together. Size is far from standard! I've read everything from 32-40. "Normal" seems between 32-36. Really the size difference from a 32 to a 36 in minor. Do a search for bougie sizes there was a nice chart Tiffykins posted that had pencils, ink pens, magic markers for comparison. Good luck and don't get tooo hung up on sizes, with in reason!