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Jeffrey, this pistol comes with the "Medium" Grip Module installed. You will need to purchase the Small and Large Grip Modules. [Striker-fired double action only. Disconnect safety. 3-point take down safety system. Takedown is prohibited without removal of magazine and without slide locked to rear. Black stainless steel full size frame, black Nitron slide finish and 1913 picatinny accessory rail. Accepts Interchangeable polymer grips; medium grip module installed. Comes with two magazines.]

The P320s are shipped with medium size grip modules. Other sizes are available for purchase by the customer from SIG: https://www.sigsauer.com/store/parts/grip-modules.html?frame_size=189&model=109 as well as other outlets. Buds has the large size: https://www.budsgunshop.com/catalog/product_info.php/products_id/714018038/sig+grip+mod+p320f+9%2f40+large+blk