Is Circumcision Just A Medical Procedure?

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Wellness Mama » Blog » Health » Is Circumcision Just A Medical Procedure?

Disclaimer: This is a post on a very personal and controversial topic. I have gotten several questions about it lately and while I’ve been avoiding the topic due to its controversial nature, I feel compelled to address it as there is a lot of misinformation on both sides and the person most affected by the procedure can not speak for himself in many cases. This is an extremely emotional issue for me, as I’m sure it is for many parents. My purpose in the post is to explain my position (as I have received many emails asking), present the information I found while researching this decision for our own sons, and to facilitate a kind and charitable discussion. I do not intend to judge or offend and I apologize in advance if anything written here is hurtful to anyone. I am not a doctor or medical professional, only a parent who has seen the pain on both sides of this issue. If this is a topic that is not relevant to you or that you’d prefer not to read, feel free to browse my Start Here Page for an archive of health articles, natural living ideas, and recipes instead.

Circumcision: Yes or No?

This is a very personal, and often very polarizing issue. It is a topic that is not commonly discussed, and for this reason, many parents are given incorrect information if they ask well-meaning family and friends. As moms, we can discuss episiotomies, having a bowel movement while pushing a baby out, or the intricacies of breastfeeding with close friends or trusted relatives, but the topic of circumcision is often avoided or it makes us uneasy to talk about.

My hope is to offer information I found while making this decision in our own family and to facilitate discussion on the matter. I hope that this is not a decision that is ever made lightly, whatever the parents choose, and that facts and research are considered.

Medical Benefits and Risks:

Though routine infant circumcision is a cosmetic procedure, many parents feel they are doing it for medical reasons. Many doctors tell parents that it will make the child cleaner, offers lower risk of UTIs, reduces risk of penile cancer, etc. Many also say that it is not painful for the baby and that there is no need to leave the foreskin attached. (Interestingly, surgeries of all kinds including open heart surgery were often preformed on infants without anesthesia and just drugs to keep them still as recently as a few decades ago. It was believed they could not feel pain, which we now know to be false.)

Some recent news has suggested that circumcision can reduce the risk of HIV infection as well, though this is a statistically flawed argument as I will explain later.

The benefits as listed above are minor, so it seems important to consider the risks as well and to weigh if the potential benefit is enough to make this risk worth it. Many parents list cosmetic reasons as their purpose for circumcision: so that a baby will look the same as his father, not be made fun of in the locker room, etc.

The American Academy of Pediatrics evaluated this and for years, their policy was that circumcision should not be routinely recommended, stating:

“The AAP had formed a task force on circumcision that decided the procedure shouldn’t be routinely recommended. The task force based this policy on 40 years of studies of both circumcised and uncircumcised boys, and it concluded the following:

  • Problems with the penis, such as irritation, can occur with or without circumcision.
  • With proper care, there is no difference in hygiene.
  • There may or may not be differences in sexual sensation in adult men.
  • There is an increased risk for a UTI in uncircumcised males, especially babies under 1 year. However, the risk for a UTI is still less than 1 percent.
  • Newborn circumcision provides some protection from penile cancer, which only occurs in the foreskin. However, the risk of this cancer is very low in developed countries such as the United States.”

Additionally, as research now shows that infants do feel pain as intensely as adults (if not more so), and anesthesia is often not used or used incorrectly. This seems like a very painful experience to subject a child to without a clear medical need, especially just for cosmetic reasons. It can be performed at any point in a man’s life, so should a child want to be circumcised later in life, he can choose this and will be given anesthesia and pain medication which are not given to infants. He will not, however, have the option of getting his foreskin back…

How Is It Done?

Although there are several ways that a circumcision can be performed, the procedure involves forcibly pulling the foreskin back (retracting it) and then removing it from the head of the penis. While the foreskin will retract later in life naturally, doing it at this age is similar to pulling a nail from a nail bed. The foreskin is naturally a very sensitive area and has as many nerve endings as a female clitoris. As this article explains:

“The foreskin, which comprises up to 50% (sometimes more) of the mobile skin system of the penis. If unfolded and spread out flat, the average adult foreskin would measure about 15 square inches (the size of a 3 x 5-inch index card). This highly specialized tissue normally covers the glans and protects it from abrasion, drying, callusing (keratinization), and contaminants of all kinds. The effect of glans keratinization on human sexuality has never been studied.

The frenar band of soft ridges — the primary erogenous zone of the male body. Loss of this delicate belt of densely innervated, sexually responsive tissue reduces the fullness and intensity of sexual response.

The foreskin’s “gliding action“– the hallmark mechanical feature of the normal, natural, intact penis. This non-abrasive gliding of the penis in and out of itself within the vagina facilitates smooth, comfortable, pleasurable intercourse for both partners. Without this gliding action, the corona of the circumcised penis can function as a one-way valve, scraping vaginal lubricants out into the drying air and making artificial lubricants essential for pleasurable intercourse.

Thousands of coiled fine-touch mechanoreceptors called Meissner’s corpuscles, the most important sensory component of the foreskin, encapsulated Vater-Pacinian cells, Merkel’s cells, nociceptors, and branches of the dorsal nerve and perineal nerve. Altogether, between 10,000 and 20,000 specialized erotogenic nerve endings of several types, which can feel slight motion and stretch, subtle changes in temperature, and fine gradations in texture are lost.”

This website explains the procedure and shows videos of actual circumcision (graphic).

While I was told by family members and even registered nurses that the foreskin has no purpose, in researching it myself, I found that it actually serves several important purposes:

  • “Protection: Just as the eyelids protect the eyes, the foreskin protects the glans and keeps its surface soft, moist, and sensitive. It also maintains optimal warmth, pH balance, and cleanliness. The glans itself contains no sebaceous glands-glands that produce the sebum, or oil, that moisturizes our skin. The foreskin produces the sebum that maintains proper health of the surface of the glans.
  • Immunological Defense: The mucous membranes that line all body orifices are the body’s first line of immunological defense. Glands in the foreskin produce antibacterial and antiviral proteins such as lysozyme. Lysozyme is also found in tears and mother’s milk. Specialized epithelial Langerhans cells, an immune system component, abound in the foreskin’s outer surface.13 Plasma cells in the foreskin’s mucosal lining secrete immunoglobulins, antibodies that defend against infection.
  • Erogenous Sensitivity: The foreskin is as sensitive as the fingertips or the lips of the mouth. It contains a richer variety and greater concentration of specialized nerve receptors than any other part of the penis. These specialized nerve endings can discern motion, subtle changes in temperature, and fine gradations of texture.
  • Coverage During Erection: As it becomes erect, the penile shaft becomes thicker and longer. The double-layered foreskin provides the skin necessary to accommodate the expanded organ and to allow the penile skin to glide freely, smoothly, and pleasurably over the shaft and glans.
  • Self-Stimulating Sexual Functions: The foreskin’s double-layered sheath enables the penile shaft skin to glide back and forth over the penile shaft. The foreskin can normally be slipped all the way, or almost all the way, back to the base of the penis, and also slipped forward beyond the glans. This wide range of motion is the mechanism by which the penis and the orgasmic triggers in the foreskin, frenulum, and glans are stimulated.
  • Sexual Functions in Intercourse: One of the foreskin’s functions is to facilitate smooth, gentle movement between the mucosal surfaces of the two partners during intercourse. The foreskin enables the penis to slip in and out of the vagina nonabrasively inside its own slick sheath of self-lubricating, movable skin. The female is thus stimulated by moving pressure rather than by friction only, as when the male’s foreskin is missing.”

(source for above list of functions)

I felt that I needed to know and understand what this surgery does before I could choose it for my son, so I found videos of a routine circumcision  (like this one)  Here are some pictures that show, less graphically, the procedure of a plastibell circumcision.

History of Circumcision

Circumcision is often a cosmetic choice today, though there are certainly those who choose it for religious reasons as well. Before making this decision, it may be helpful for parents to understand the history of the procedure.

  • The first recorded history of circumcision I could find were references to primitive tribes that used both male and female circumcision as a rite of passage into adulthood thousands of years ago. Other rituals involved skin mutilation, walking on hot coals or other feats of strength and bravery. Many of these rituals often ended in death.
  • There is speculation that the ancient Egyptians practiced circumcision, although this theory is largely based on paintings found from this time period that seem do depict a circumcision, though these don’t show the context or explain the reason. Other interpretations are that these paintings show pubic hair being shaved. No circumcised mummies have been found.
  • About 600 BC the first five books of the Hebrew bible were compiled, including the command to Abraham to circumcise himself and his descendants. Circumcision is adopted in the Jewish faith as part of a covenant with God. Historical evidence suggests that this was a different practice than what is done today, involving a nick or “shedding of blood” or removal of a small part, but not all, of the foreskin, as this would have been a difficult and dangerous procedure at this time, especially for adults.
  • During this time, historians note that several cultures, most middle eastern, practiced circumcision.
  • Jesus was born and circumcised in accordance with Jewish teaching. (though again, historical evidence shows that this was probably a much different procedure)
  • In roughly 43 AD, the Council of Jerusalem, led by Apostles Peter, Paul, John, and James the Lesser decided that members of the newly formed Christian church were not bound by Jewish ritual or custom including dietary guidelines, restrictions against dining with Gentiles, and circumcision.
  • 570 AD- Mohammed born “already circumcised,” which supposedly led to the rule of circumcision among Muslims, who are the largest group of circumcised men today.
  • From this time to more modern time, there were many bans on circumcision in Christian nations, forced circumcision in other nations (often my Muslim conquerers) and reversals. You can see those details here.
  • 16th-17th centuries- Medical research started to explore the function of the foreskin,  finding that it provided lubrication and pleasure during sex.
  • 1716 AD- “Publication of Onania, or the heinous sin of self-pollution, and all its frightful consequences in both sexes in London, giving rise to the irrational phobia about masturbation which persisted throughout the eighteenth and nineteenth centuries. For the next 250 years doctors insist it is a scientifically proven medical fact that masturbation is physically and mentally harmful and must be stopped at any cost.” (source)
  • In the 1740s, medical science found ways to remove tissue that was affected by syphilis, and since this infection often occurred on the foreskin, one doctor advanced the idea that circumcised men were less prone to the disease.
  • 1758- “Publication of Onanism, or a treatise on the disorders produced by masturbation, by Swiss physician Simon-Andre Tissot, further spreading the theory of masturbatory disease throughout Europe.” (source)
  • 1850s- “James Copland, in Dictionary of practical medicine, popularizes the idea of circumcision as a means of discouraging masturbation among boys.”
  • 1860s- “Circumcision as means of curing or preventing masturbation in boys becomes widespread medical dogma in Britain. For the next 100 years (and in the USA 150 years) doctors insist it is a scientifically proven medical fact that the foreskin is harmful to the physical and moral health of males and must be surgically removed before they even become conscious that it was ever there.”
  • 1870- “In the USA Lewis A. Sayre applies theories of Lallemand and announces that circumcision cures “paralysis” (polio), epilepsy and masturbation, setting off the medical craze for “therapeutic” circumcision. Calls for universal circumcision of male infants.”
  • 1877- “John Harvey Kellogg MD (1852-1943, of Kellog cereal fame) publishes the first edition of Plain facts for old and young, in which he promotes circumcision as a cure for masturbation. He writes that the operation was to be performed “without administering an anesthetic, as the brief pain attending the operation will have a salutary effect upon the mind, especially if it be connected with the idea of punishment.””
  • 1882- “Norman H. Chapman, Professor of Nervous and Mental Disease at the University of Kansas City, writes: “It is always good surgery to correct this deformity [a long and contracted foreskin] … as a precautionary measure, even though no symptoms have as yet presented themselves”, thus ushering in routine or “preventive” circumcision. (Medical News (Philadelphia) Vol. 41, p. 317)”
  • 1885- Dr. Samuel Newman promotes routine circumcision of newborn boys, claiming the advantage that it could be done without anesthetic and he borrowed the idea of strapping the baby to a board from the Indians. This board, the circumstraint, is still used in many hospitals during circumcision.
  • 1880s- “The newly formed American Academy of Pediatrics supports Lewis Sayre’s call for routine neonatal circumcision. Determined to lower the nation’s infant mortality rate by reducing often-lethal diarrhoea, the AAP argues that the foreskin irritates the penis, which irritates the nervous system, which hampers digestion, which causes diarrhoea. Simultaneously, the AAP also condemns breast milk, claiming it is a leading cause of infant diarrhea. This is the nineteenth century version of the urinary tract infection scare (UTI), the only surviving justification for infant circumcision.” (source)
  • 1914- “Abraham Wolbarst, Jewish doctor in New York, urges universal male circumcision as a preventive of syphilis, cancer and masturbation. (Journal of the American Medical Association, Vol. 62, 1914, pp. 92-7)”
  • 1941- “Alan Guttmacher writes (approvingly) that some US doctors circumcise routinely without even consulting parents, and that 75 per cent of boys born in urban hospitals are circumcised. (“Should the baby be circumcised?”, Parents Magazine, Vol. 16, pp. 26, 76-8)”
  • 1965- “W.K.C. Morgan publishes “The rape of the phallus”, the first criticism of circumcision’s murky psychology to appear in a US medical journal. Full text here.”
  • 1971- The American Academy of Pediatrics declares that they find “no valid medical reasons for routine infant circumcision.”
  • (during this time, the debate about the necessity of circumcision raged and it was first addressed by some in the US as a human rights issue. Read the full details here.)
  • 1996- Female Circumcision (genital mutilation) banned in the U.S.
  • 1997- Research released showing that circumcision can heighten pain and reaction to vaccines and other procedures. Evidence also found that circumcision does not reduce STD risk.
  • 1998- A baby dies from anesthesia in a procedure to reverse damage done during circumcision in a highly publicized case. Research also finds that statistically, it would take 195 circumcisions to prevent one UTI.
  • 1999- “The American Academy of Pediatrics issues new policy on routine male circumcision which states that the potential medical benefits of circumcision do not warrant performing it routinely, but that pediatricians may perform it at the parents’ behest for “cultural, religious, and ethnic” reasons, but that analgesia is essential. You can compare that policy with their policy on female genital mutilation.”
  • 2002- At Barcelona conference, World Health Organisation rejects circumcision as element of strategy in control of AIDS in Africa.
  • 2007- Information released that human baby foreskins are actually big business and used in cosmetic uses like the making of face cream. (good reason to make your own!)

The current rationales/rationalizations for infant circumcision developed after the operation was in wide practice. Some of them include: to make sons resemble their circumcised fathers; to conform anatomically with peers (note: circumcised boys now find themselves in the minority); to improve hygiene; to prevent tight/non-retractile foreskin (which is normal in childhood); as prophylaxis against urinary tract infection (UTI), sexually transmitted diseases (STDs), and cancer of the penis, prostate, and cervix. If circumcision were a new procedure being proposed today for any of the above conditions, it would not be acceptable based on insufficient medical evidence and/or medical ethics (it is against medical ethics to perform unnecessary surgery).

Risks of routine circumcision include: infection (including infection with MRSA), lacerations, skin bridges, chordee, meatitis, meatal stenosis, urinary retention, glans necrosis, hemorrhage, meningitis, sepsis, gangrene, penile loss requiring sex re-assignment, pain, irritation, prolonged bleeding, nursing strike, loss of or diminished sexual function, accidental cutting of an artery during the procedure, erectile dysfunction later in life, and even death (every year more than 100 American boys die from circumcision complications).

[Note: all quotes from this timeline unless otherwise noted]

Statistics and Facts

While circumcision is considered a common procedure in some places, especially within the U.S., it is interesting to note that worldwide, this is not the case. In fact, “Worldwide, only about 20 out of every 1,000 male infants are circumcised—and 18 of those 20 are in the United States alone.”

While parents are often told that circumcision is common and their sons outcast in the locker room if they aren’t circumcised, even in the U.S., circumcision rates have fallen from 56% to 32% in the last 4 years alone, meaning that for current newborns, circumcised males will be in the minority.

Circumcision is often done to prevent risk of future problems like penile cancer, though each year, only about 300 men die from penile cancer, while 500+ die from complications related to circumcision. In the U.S. alone, “About 117 boys die each year as a result of their circumcision, most from infections or blood loss.”

While it is a cosmetic procedure, it medically alters the body and changes the sensitivity of the penis drastically. “Circumcision regularly removes a shocking 3/4 of the penis’ sensitivity through the removal of the ridged band, foreskin “lips,” and most often the entire frenulum.”

“As adults, men circumcised in infancy are almost 5 times more likely to be diagnosed with erectile dysfunction (ED).” (source)

“The complication rate for circumcision varies from 3 to 6 percent. The average male will have more health problems from being circumcised than from being left alone” (source)

“Circumcision has never been proven to be effective in either reducing or treating cervical cancer, penile cancer, urinary tract infections, or sexually transmitted diseases including HIV/AIDS.” In fact, the recent studies that suggest that circumcision may lower HIV rates are reporting circumcisions done on ADULT males in high risk areas with only a six month to a year follow up period. It seems logical that in this time, a man would still be partially recovering from this painful procedure and would not be as likely to engage in sexual activity or may be more careful about using “protection” which also both reduce the risk of AIDS. Additionally, as HIV/AIDS are not always diagnosed immediately, this doesn’t account for longer term rates.”

Circumcision is often done to “lower the risk of UTI” which is increased the most in the first year of a child’s life. Both circumcised and uncircumcised males have a lower rate of UTI than all females, though in most places, it would be considered barbaric to recommend female circumcision to reduce the risk of UTI.

“The foreskin contains over 240 feet of nerves and over 1,000 nerve endings, as well as being a highly vascularized structure.”

“Women have a foreskin as well, which covers and protects their clitoris. It is alternatively referred to as the clitoral foreskin, clitoral prepuce, or clitoral hood.”

“Complications are often overlooked or un(der)reported. They include: Lacerations, skin bridges, chordee, meatitis, meatal stenosis, urinary retention, glans necrosis, hemorrhage, meningitis, sepsis, gangrene, and penile loss requiring sex re-assignment. The literature abounds with reports of morbidity, and even death, from infant circumcision.”

“Ob/Gyn fees for circumcision range to $400, averaging $137 nationwide [U.S.] Circumcising 10 infants weekly for only 10 months of the year at $125 each (1987 U.S. rate), circumcisers earn at least an additional $50,000 annually. 74% of the Ob/Gyns surveyed perform circumcision. Ob/Gyns are generally not aware of preputial (foreskin) structure and function, or of the growing numbers of men undertaking foreskin restoration.”

“In the 1980s, retrospective studies by Wiswell et al. suggested that 98-99% of intact (non-circumcised) male infants will not develop UTI (compared with his finding of 99.9% in circumcised male infants). In 1989, the AAP (American Academy of Pediatrics) cautioned that Wiswell’s studies comparing the two groups may be methodologically flawed, and that the percentage of intact male infants who will not develop UTI may be even higher. Research in the 90s has since confirmed that Wiswell’s studies are flawed, as the AAP cautioned, and that the incidence of UTIs in intact male infants is significantly lower than the 1-2% he reported.”

“Scandinavian society (virtually non-circumcised) has a lower rate of cervical cancer than the U.S (a majoritarily circumcised society).”

Religious Aspects:

Certainly, as circumcision was/is a part of Jewish belief and teaching, there is a religious aspect to some parent’s choice to circumcise or not. What I did find fascinating in my research was that the circumcision done in biblical times was likely very different from the one done today. As this writer explains:

Turns out modern circumcision is nothing like what happened in Biblical times. The two Hebrew words used to describe Old Testament circumcision are namal & muwl. Namal means “clipped,” like you might clip your fingernails. The word muwl means “to curtail, to blunt, to cut shorter.” There are totally different words used in Hebrew for “cut off” or “removed.”

The whole idea of circumcision as it was ordained by God at that time in history was that a little blood would be drawn as a symbol. It was a symbol of the sin of the world, which would eventually be repaid by the Messiah. God-ordained circumcision was in the same category as animal sacrifices (another symbolic tradition with blood that found its fulfillment in Jesus).”

From my understanding, even today, Jewish circumcisions are sometimes done in this way, by a specialized practitioner, at home, on the 8th day, and are in stark contrast from the circumcisions performed in hospitals on the first or second day after birth. Interestingly, there are modern, faithful Jewish people who do not believe that circumcision is necessary and there is even an organization called Jews Against Circumcision.

For Christians, the command to circumcise was lifted with Christ’s sacrifice. Some Christians go so far as to say that God forbids circumcision in the New Covenant. This is even addressed in the New Testament in several places:

~Rom. 3:29-30 “Is God the God of Jews only? Is He not the God of Gentiles, also? Yes, of Gentiles also. Since the God who will justify those of the circumcision out of faith, and those of the uncircumcision through faith, is One.”

~1 Cor. 7:17 “As God has called each man, in this manner let him walk. And thus I command in all the churches. Was any man called in the circumcision [i.e. Old Covenant]? Let him not try to become uncircumcised. Has anyone been called in the uncircumcision [i.e. New Covenant]? Let him not be circumcised! Circumcision is nothing. And uncircumcision is nothing but the keeping of the commandments of God. Let each man remain in that condition in which he was called.”

~Gal. 5:6 “For in Christ Jesus, neither circumcision nor uncircumcision gives spiritual power, but faith working through love.”

~Gal. 5:11 “But if I still proclaim circumcision. . . then the stumbling block of the cross has been abolished.”

~Col. 2:8-14 “See to it that no one takes you captive through philosophy and empty deception, according to the tradition of men…rather than according to Christ. For in Him all the fulness of Deity dwells in bodily form and in Him you have been made whole.. and in Him you were also circumcised, with a circumcision made without hands, in the removal of the body of the flesh by the circumcision of Christ, having been buried with Him in baptism, and raised up with Him through faith. And…in the uncircumcision of your flesh, He made you alive together with Him. . . having cancelled out the certificate of debt consisting of decrees against us which were hostile to us. And He has taken them out of the way, having nailed them to the cross.”

[Note: More biblical verses and explanation here]

There are also several Christian organizations that oppose circumcision including Catholics Against Circumcision, and parts of the NoHarmm organization.

My Personal Experience

Our two sons are not circumcised. While I am extremely grateful that we researched extensively and made this decision when we were pregnant with our first son, I have regret and guilt for not sending information to several pregnant friends who I later found out did circumcise their sons because they hadn’t researched both sides of the argument and then deeply regretted it.

Researching the actual circumcision procedure was the turning point for me in my decision not to circumcise. Prior to my pregnancy with our first child, I had never even considered the topic and knew incredibly little about it. I vaguely knew that such a procedure existed, but as a woman, it wasn’t something that had ever affected me.

Once I was pregnant, I started researching everything from delivery options to episiotomies, to Vitamin D testing, to gestational diabetes testing, to all of the medications used in childbirth. I tended to glaze over the topic in books because I figured it was a decision my husband would make, but something kept nagging me about it.

When I was working on my birth plan, this was something that was suggested to include, so I started researching it and I am forever grateful that I did. My husband researched the issue in depth as well, and thankfully, he came to the same conclusion, as I have seen this be a source of disagreement and pain for several couples. While my husband and I are in complete agreement on this issue, it is a source of disagreement (and sometimes pain) in our extended family.

For those who may have concerns of the care of an uncircumcised penis, less care is actually needed in the younger years than with a circumcised infant and nothing must be done to it other than basic bathing and hygiene. The skin will retract when they are older and they are the only ones who will ever need to retract this skin (injury can occur if it is done by others or too soon). In fact, many of the problems commonly associated with being uncircumcised are actually caused by forced retraction at an early age by someone other than the foreskin’s owner.

Neither of my sons has ever had a UTI or any other issues or complications from not being circumcised.

This post is written in hope that I won’t ever feel the same guilt that I feel with my friends for not presenting this information to any of you who are genuinely curious or researching. I also share this in hope that no one becomes one of these thousands of parents who live with this guilt because they didn’t have all the information. It is based on my own personal research and convictions.

I know several friends who deeply regret their decision to circumcise, and share their story in hopes of sparing other mothers this pain. For the record, I have tremendous respect for parents who have made the decision to circumcise, and after research regret their decision but still share their pain for the benefit of others.

I hope that I have conveyed my research and opinions on this in a non-judgmental way and I certainly would NEVER judge anyone for the decision to circumcise, especially since I have seen first hand how this procedure is marketed as a much more medically necessary and beneficial procedure than I found it to be in my research. I read the pain and heartache of many parents who regretted their decision in my own search for information, and I am so grateful to them for sharing their pain and sparing our family the same pain.

I implore parents to research this issue thoroughly, make sure they are familiar with the procedure (witness one in person if possible, or a video if not), the technique, the possible risks, and the form being signed before consenting to a circumcision if this is the decision they make. (More here on some of the actual problems with the consent forms for circumcision).

This article addresses many of the reasons often given for “medically necessary” circumcisions and I’d also encourage parents to thoroughly research any of these particular issues before consenting.

In the end, to me, the issue comes down to whether we (as parents) have the right to make a permanent medical decision (that some consider a human rights issue) for a child who is not even yet old enough to talk or verbalize pain when there is no clear medical need, and the issue of risk vs. benefit can certainly be hotly debated.

For us, the answer to this question was unequivocally that we do not have this right, and we chose to leave our sons as God created them (just as we did for our daughters). My plea is that all parents will give this issue a lot of through, consideration and research before making a decision, and not do it for strictly cosmetic reasons or because a doctor or family member suggests it.

My sons could, if they wish, choose this procedure at any point in their lives. Many ethicists suggest that parents only have the right to choose life saving procedures and surgeries for their children but that surgeries like circumcision that alter the body without medical need can be unethical.

Though I personally consider this a human rights issue that boys should have the right to make on their own, I also think the the slope of letting the government be involved in the process at all would be a very slippery one (though female circumcision is banned in the U.S., despite some people who have personal or religious reasons for doing so). I do know men who were circumcised who feel strongly that parents should not have the right to make this decision and who have anger over the decision that their parents made.

My purpose of this article is certainly not to judge anyone over a decision either way, and my purpose was to share information that shaped my decision in hopes that it might be helpful to others. While my heart aches for men who were never given the right to make this decision, I think that the answer is access to research and information, not government intervention or policy.

Resources:

Here is a list of resources I found helpful in my research on this topic. It is by no means an exhaustive or unbiased list, just ones I found worth the read:

Catholics Against Circumcision

Doctors Opposing Circumcision

DrMomma: Are You Fully Informed? (Huge list of resources and things to consider)

Mothering Circumcision Forum (Huge forum of parents who regret circumcision their sons and experience from actual people, not just statistics)

The National Organization of Circumcision Information Resource Centers (NOCIRC)

The National Organization to Halt the Abuse and Routine Mutilation of Males (NOHARMM)

Nurses for the Rights of the Child

The Case Against Circumcisions

Infant Pain, Adult Repercussions: How Infant Pain Changes Sensitivity In Adults

Dr. Momma: Cut Vs. Intact Outcome Statistics

Babies Do Feel Pain

Basic Care of the Intact Child

Is this an issue you have had to decide? What influenced your decision? [Let’s keep the comments kind and charitable. I am all for open debate, but any personal attacks or rude comments will be removed]

Sources

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Katie Wells Avatar

About Katie Wells

Katie Wells, CTNC, MCHC, Founder of Wellness Mama and Co-founder of Wellnesse, has a background in research, journalism, and nutrition. As a mom of six, she turned to research and took health into her own hands to find answers to her health problems. WellnessMama.com is the culmination of her thousands of hours of research and all posts are medically reviewed and verified by the Wellness Mama research team. Katie is also the author of the bestselling books The Wellness Mama Cookbook and The Wellness Mama 5-Step Lifestyle Detox.

Comments

206 responses to “Is Circumcision Just A Medical Procedure?”

  1. Rachel P Avatar
    Rachel P

    Thanks for sharing all of your research, Katie. I’m curious to know if you and your husband have thought about how you will work with your boys to handle any questions or teasing they receive for their penises looking different than their peers. Perhaps it won’t be an issue as more and more families are choosing to not have their sons circumcised. Future blog topic. 🙂

    1. Wellness Mama Avatar

      Hi Rachel. Good questions 🙂 This is definitely something we considered but after thinking about it, it wasn’t a big concern for me for a few reasons… For my sons, at least half of the boys in their generation will more than likely be intact as well, so hopefully they won’t be teased (and my husband has said he has no recollection of himself or others being teased as a child about whether or not one was intact or not). I will definitely talk about the topic openly with them so they will hopefully be well equipped to gently but firmly handle any questions they get.

    2. Steinn Andersen Avatar
      Steinn Andersen

      More and more boys in the US is staying intact as more and more parents choose to educate themselves regarding this matter. As a result genitally mutilated (aka circumcised) boys will be the minority. Today a bit over 50 % of US boys are being mutilated. In the world 70-75 % of all parents does not mutilate their sons. I don’t think her son will be teased.

  2. Molly Avatar

    God would not have commanded a barbaric practice and the 8th day is important as well. It means cutting away not just drawing blood, so.not buying that it is a different procedure. The men who were circumcised in the Bible (as adults) took a long time to heal, hence this was a good time to attack. I have never met a male who was uncircumcised that did.not wish he had been, not saying they don’t exist! But I find its usually women or circumcised men who are against circumcision. Again, not always the case, but just my experience. Glad I had my boys circumcised. I left the decision to my husband since he has first hand experience and he said “definitely.” I have a lot of regrets but this is.not one of them. If.others don’t want to, fine, but don’t be so critical of those who do.so, especially for religious reasons.

    1. James Loewen Avatar
      James Loewen

      “God” also commanded for adulterers to be stoned to death.

      When your sons come of age they will have a great deal of access to information about normal, human sexual anatomy. Will they be glad that you acted out an old testament barbarity on their penises?

      Every man and every woman is born with a foreskin. Did you have any idea what the foreskin was for before handing your sons over to have this beneficial part of their “private parts” cut off?

  3. Sue Avatar

    I really get both sides of this issue. I try not to judge either way. I understand wanting to leave the choice up to your child, because it is their body. I understand not wanting to do something permanent, and potentially painful to your sweet innocent baby! I understand the appeal of leaving your child the way he was naturally born! I don’t understand cutting your child for purely cosmetic reasons.
    All that being said, my boys ARE circumcised. Maybe you will think my reasons are selfish. I can’t help that, and I can’t undo what I’ve done, but I am satisfied with our choice, even though I can see the other side. These are the reasons my boys are circumcised:
    1) My husband worked in an ER for several years and uncut children, and especially grown men came in frequently for penile pain and treatment due to really unpleasant infections beyond just run of the mill UTIs. You can teach your sons proper hygiene, but there is no guarantee that good hygiene will be enough, or that they will implement what you have taught them throughout life.
    2) I was molested by a teenaged boy (not a relative!) when I was a very young child, and forced to perform oral sex. This went on for nearly 3 years. He was uncut. I literally have a phobia of uncut penises. When I see one in a photograph or whatever, fear rises up in my throat to the extent that I have to hold back a scream. Just the thought of the smell of smegma, turns my stomach. I just couldn’t face the thought of it. I couldn’t face the thought of associating my sweet baby boys with that horrible experience. Maybe that makes me a selfish coward, I don’t know, but I see it as a much more valid argument than many in favor of circumcision.
    As a side note, one of my children actually slept through his circumcision.

    1. Steinn Andersen Avatar
      Steinn Andersen

      I’m sorry for your experience with that boy, it shouldn’t have happened. However, I feel that you were tkainf your revenge on your sons’ foreskins?

      Did you see your son sleep during his genital mutilation or were you told? What kind of anesthetic did he get?
      Do you know that you have more bacteria and grit (for instance smegma) in the nooks and crannies between you labia and under your foreskin than a man will ever get? Which means that you are more “smelly” than a man. 😉

      I really don’t know why Americans have all these “nasty infections” while the rest of the intact world doesn’t have them? Why do American foreskins turn against their owners. Is America a magical place or something? Do you know that the difference in UTI rates between a cut an intact male is about 0,02 %, which is no significant at all? Do you know that the UTI rates for females is four to nine times higher than for a male? How do you treat females? not with a genital mutlilation.

  4. Trish Avatar

    That video was the most barbaric heartbreaking thing I’ve seen. I couldn’t even watch it all. Why on earth do they do that with nothing for pain?? I’m glad I didn’t have a son, without having known what the baby went through I might have had it done. Thank you for the information.

  5. Tracy Avatar

    We are Jewish so both of our sons were circumcised on their 8th day. If I was not Jewish I would find a Jewish Moyle which is basically an ordained pediatrician to perform the circumcision. These doctors perform hundreds of circumcisions a year and are great at what they do.

    1. Glenn Avatar

      Or you could do what lots of us Jewish folks are doing these days and that’s having a Brit Shalom to welcome baby. Your baby boy is still Jewish even though he didn’t have his penis cut. There are tons of Jews against circumcision.

      1. Lo Avatar

        Exactly; my 25 year old Jewish son is intact. Circumcising a child is like telling the Creator that it made a mistake that we need to fix. Insanity.

  6. Bethany Avatar

    Thank you!!! For doing the research you did and for sharing this information. We are expecting our first right now and this is a topic I have struggled with. I feel maybe my struggle has been not with what I feel our decision should be but with validating it amongst others. This article has definitely offered the support and facts that we needed. Again- THANK YOU!!

  7. Elena Avatar

    The one “debate” my husband and I had through all three pregnancies was over circumcision. I didn’t think it was medically necessary while he wanted his son to look like him. I recall reading articles on FGM over the years and asking myself if it was so detrimental to women, why was it allowed for men? And then, of course, there were the horror stories (shudder) …

    Anyway, my husband and I ended up having three daughters so circumcision was never an issue, thankfully, since we each still have the same opposing viewpoints. Thank you for this article. You’ve done a lot of good here. At least parents can make an informed decision rather than just going with the flow.

    1. Lo Avatar

      And now that you have daughters, do their genitals match yours? Their vaginas? Their labia? How often do you compare? Is that even a concern? It sounds crazy, right? Just as crazy as men who feel that their sons’ penises need to match their own, which of course is not the case, even with circumcised penises. Our genitals–just like other of our body parts–do not match the body parts of our parents or even our siblings, we are not clones of one another. When our children are born and their noses aren’t identical to ours, do we take them to the plastic surgeon to have them fixed? When men are asked how often they’ve actually compared their penises to their father’s genitals, if they’re truthful, they will say never and it actually sounds a bit creepy, to be comparing genitals. Cut or intact, an adult’s penis will NEVER look like the penis of a child and unless a newborn is born with a very large penis that has pubic hair, this whole notion of matching penises is ridiculous. A mature and loving father will be more concerned about protecting his children from harm, not whether their genitals match. Good thing that you had girls.

  8. Brandy L Avatar

    When you describe someone else as “uncircumcised” you are validating male genital mutilation as normal and acceptable. Please use the term “intact” instead.

  9. Leslie Avatar

    Just found this post. I’m surprised I didn’t find this sooner (when researching circumcision for my son)! Great article. My favorite excerpt:

    “…the issue comes down to whether we (as parents) have the right to make a permanent medical decision (that some consider a human rights issue) for a child who is not even yet old enough to talk or verbalize pain when there is no clear medical need…”

  10. Sandra Avatar

    This says it all for me: “Death is a possible outcome. Every year more than 100 American babies die as a result of their circumcision.7”

    Having worked in the medical and pharmaceutical field for more than 15 years – I see it as another “item number on medicare”, that is the doctor gets paid for this procedure. Luckily in Australia it is more like Europe and England, not that common. Unfortunately the USA’s health care system is driven by private insurance and so many procedures are done which are not necessary. For example: The USA is finally catching up with Europe and also Australia in doing radial artery cardiac procedures which means patients stay in the hospital 1 to 2 days and can immediately walk, in the USA they are still doing it through the groin where a patient is more likely to bleed, has to be bed ridden for 6 hours and has a long hospital stay.

    Needless to say my son is not circumcised.

  11. Angel Avatar

    I realise this is an older post, and that a lot of people wont read to the bottom of the comments so may not see this, but I wanted to post my opinion. I don’t have a son, and if I did, I would never circumcise.

    I used to be an escort (dark days)… and I met a lot of men, both cut and uncut. Whilst I met the occasional man with hygiene issues, I can assure you it was not limited to the uncut men. Poor hygiene is due to just that… poor hygiene. Which, by the way, can be the result of too much cleaning, the same as too little.

    Escorts aren’t used for sex as much as they are as therapists. People spill out their darkest secrets to us with no fear of judgement or word getting out. People often spend far more time talking than doing anything sexual and you would be surprised just how much gets discussed. Everything from family issues to money problems to arguments with the in-laws to health. Nothing is off topic or too taboo. In fact, escorts are some of the best therapists out there!

    In all my years escorting I only met one uncircumcised man who wished to be circumcised, and that was because he had a naturally tight foreskin and retraction was painful. I have, however, met many, many circumcised men who wished they had not been circumcised. Of course, I have also met plenty that were fine with the way their penis was, but many were not.

    Even if I had never done any research on the matter, the reactions from the men I used to see was more than enough to put me off.

    I live in England, where circumcision is relatively rarely practised, there was only one boy in my year at school (about 400 pupils) who was (I only know that because he was taunted mercilessly because of it unfortunately). If your only reason for circumcision is so that he looks like his peers… I would reconsider.

    I understand that for some people, circumcision isn’t really a choice, it is a social and/ or religious norm. For those people, if circumcision is a must for you, then I would urge you to do it on the 8th day when the clotting side of things is in your favour, with adequate use of anaesthetic, and use a suitable pain relief option for the following few days regardless of how ‘in pain’ the child may or may not look. As an adult who lives in continual pain… you would be surprised just how much the human body can tolerate, and just how much pain I need to be in before I physically cry out. Don’t make the mistake of assuming it is different for a baby.

    Just reading through the article, I was pleased by how unbiased it was. Whilst I hope I have made it clear that circumcision is something I am fundamentally against, in the interest of being completely unbiased there should be one or two websites ‘for’ circumcision in that list at the bottom there?

    Personally it boggles my mind that female circumcision is illegal when male circumcision isn’t.

    1. Darren Avatar

      That’s really interesting how so many of the men you encountered spoke with you as though you were a therapist of sorts. (Well, apparently you were, actually.) I suppose it makes sense. Just talking things out and knowing someone else is listening can be very helpful sometimes … and feeling like it’s safe to do so with someone who won’t share with anyone they shouldn’t certainly makes it feasible. (A bit sad though for anyone and everyone who lacks a good friend, family member, romantic partner, or whoever else that they could share deep issues and pain with. It’s rough out there … and too often we just have to keep some things to ourselves.)

      Anyway, I’m glad that your dark days are evidently past you, whatever all was involved and at play. But sincerely, thank you for having listened to the men who expressed misgivings of their own involuntary-at-birth circumcisions. Just thank you. It’s appreciated.

  12. Theresa Avatar
    Theresa

    I am SO glad to see this article.
    I absolutely love your site, and debated whether I wanted to know your views on circumcision. I was honestly expecting to be very disappointed. I’m pleasantly surprised.
    We did not “choose” circumcise our son because that is not our choice to make. The only person that should make such an intimate decision on cosmetic amputation is the person being mutilated.
    I love how you elaborated on so many points in such an informative and respectful manner. I’m sure that many parents who were once for MGM will change their minds after reading this.
    I am disheartened by the number of responses I see defending their “choice”. The only thing that I hate more than circumcision is the justification from parents after being exposed to the truth.

  13. Jenay Green Avatar
    Jenay Green

    I think you are brave for taking on this subject. You did a great job of presenting the information. I did not circumcise our two youngest sons and have often wondered if I made the right decision. I believe I did, Thanks for the information!

  14. Hope Avatar

    This was the very best anti-circumcision article I’ve read. Actually I think it’s the only good one I’ve read! We circumcised our son, for the often-cited reasons you mentioned. I don’t regret it, but I will say that if I’d read your article back then, I might have reconsidered.

  15. Kaylee Avatar

    I had my sons circumcised, and have never once regretted it. They are ages 21-27. It was purely cosmetic. My eldest has actually said he is extremely grateful that he was done.
    My second husband is uncircumcised and has had erectile problems from 40 years of age.

  16. Sara Knoepfle Avatar
    Sara Knoepfle

    We chose to circumcise our son. I personally was not for the decision but given the research that I had done and shared with my husband. The jury was out. I’m not the one with the penis. I allowed him to make the call. Lucky for us, it was a small clip. Praise the Lord. My husband informed me he had no recollection of the “prccedure”. I really had no grounds to put my foot down on the issue. I’m not some push over wife either I have won many battles in the terms of health decisions for our children. I refused to be there when they performed the procedure and I told my husband that he had to stay and snuggle him before he came home. (I have twins and they were premature and spent quite some time in the hospital) I don’t regret our decision but I feel like I will always be on the fence for it.

    I saw a comment about long term effects of ultrasounds on children. This is a really sensitive issue for me personally. My twins’ lives were saved because of multiple ultrasounds. If they have long term effects I will take them. My son had a two vessel umbilical cord. He was growing well and it could have caused serious complications of pumping blood out of his body. We could have lost him. Granted, we made a medical decision and had them delivered at 29 weeks and went through grueling hell of not having them home for three months. I don’t believe that getting ultrasounds just because you want them is a great idea but when it comes down to medical intervention to make sure a child is safe. Absolutely, I am for them.

  17. Jessie O Avatar
    Jessie O

    After reading your article I just wanted to bring up 2 points that I have to disagree with.

    Point 1. — 570 Mohammed born “already circumcised” supposedly giving rise to the rule of circumcision among Moslems, the largest group of circumcised men in the world today. Further information.

    I clicked on the “further information” link and it mentioned nothing about this “already circumcised” statement so I don’t know where this information is coming from. I have studied the life of Muhammad (as I am Muslim) and I have never heard of this. My knowledge is very limited but in that tiny knowledge I have of him this topic was never discussed. I know Muslims do circumcise boys at the 7th day of life following in the tradition of Abraham. It says that Muslims wait until age 6 to 10 years old. If that does happen, it is not Islamic it is their regional custom.

    Point 2. — 7th-11th century Islamic armies overrun much of Middle East, central Asia, northern Africa and Spain. Indigenous cultures swamped and rule of circumcision enforced on local populations by Moslem conquerors. Some Christians excused because they are “people of the Book”. Islam eventually reaches India, Malayan peninsular and Indonesian archipelago, bringing circumcision in its wake.

    There is no source listed for this comment. This seems highly unlikely since Muslims cannot impose their religion on non-Muslims even if they are the rulers of the country. Also if a person chooses to enter into Islam and circumcision is an obstacle for them and it will turn them away from Islam, then they do not have to do it.

    I have no comment on Circumcision itself except to say that I feel it is a personal choice that parents can come to make to, similar to breast feeding vs bottle feeding, Pro-Vaccine vs Anti-Vaccine. You should be free to choose what is best for you and your family. And everyone makes different choices.

  18. Anna Avatar

    Thanks for a great article! My husband and I decided not to circumcise our son. I was against it from the moment we knew we’ll have a boy, and my husband became convinced after making his own research. We live in Israel and here not circumcising your child at least looks strange to everyone. Everyone stars to scare you that your child will have problems in the school just for being different, and that’s the reason that many parents circumcise even when they don’t want to. I wish more parents will research this topic before processing this barbaric practice.

  19. Laura Avatar

    I had my first 2 boys circed without thinking, I did it because it’s what I was ‘supposed’ to do. When we found out our 4th was a boy, I really started thinking about it and hubby and I had a deep discussion about it. He was not circumsised and was very embarrassed as a kid and even contemplated taking scissors to it himself. He felt very strongly that our boy be circed. I feel very passionate that each family do as they feel is right for them and that if circing is chosen, make sure it is done by someone who is good at what they do.

  20. karen Avatar

    Great article! When our son was born 15 years ago, we decided not to put him through the surgury after months of researching. We had a great doctor that shared lots of ready material so we could make our own minds up. But there were plenty of people we knew that gave us lots of greif over our decision. Even the nurses at the hospital were horrible to me for not having it done to my son, they had me in tears but I would not back down. Well, he has never had any kind of problems with not being circumcised! He says he’s glad we didn’t do it to him!

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