There is no doubt that some of our colleagues at least in some parts of the world take part in the implementation of this harmful practice. They do so with the best intentions, trying to reduce the harm done by traditional practitioners in back streets and with unhygienic tools. And some do it just to earn money, or because people request it. They do, however, provide surgical approaches, anesthetics, aseptic procedures and sutures as opposed to what is known to occur in the back rooms with unsterile razor blades, thorn stitches and a screaming child. In some countries it is illegal to do this in private or public hospitals, in other countries it is permitted. Irrespective of how it was done, there are probably around 85-115 million mutilated women around the world today, mainly in a belt of 40 countries throughout Africa (1). Although some people associate the tradition with Islam, this is not a Muslim practice. Many Muslims are affected anyway, even if the tradition is older than the Islamic influence in the region. Some women from other religions, including Christianity, are also exposed, whereas most Asian Muslims do not do it (2). Some European and American girls also underwent clitoridectomy a hundred years ago, mainly because their custodians identified them to practice ‘harmful masturbation’. Some of us have also cut the labia minora of modern women, on cosmetic rather than medical demand.