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The World’s Oldest Cosmetic Surgery Is Still Performed on Newborns—Without Consent

Let’s talk about the only cosmetic surgery routinely performed on people who can’t speak.

Can’t walk.

Can’t say no.

Newborns.

And we don’t just perform it—we normalize it. We package it in pastel-colored pamphlets. We handwave the pain. We call it tradition. We even say it’s an “important decision,” as though that somehow softens what’s really happening.

But let’s not sugarcoat it.

This isn’t about hygiene. It’s not about medicine. It’s not even about culture—because cultures evolve. This is about cutting off a piece of a baby boy’s genitals. With no medical need. Without his consent.

And calling it care.

Let’s Be Brutally Honest About What Circumcision Really Is

Circumcision is the surgical removal of the foreskin—a healthy, protective, erogenous structure that covers the head of the penis. This isn’t dead skin. This isn’t an extra flap. This is functional tissue, rich with nerve endings. And in most cases, it’s removed when the person is just hours or days old.

Worse yet? In many hospitals, it’s performed without any anesthesia—or with inadequate pain relief. Imagine that. An adult would be numbed, sedated, and monitored. A baby? He gets strapped to a board. He screams. He shakes. Sometimes, he goes into shock. But hey, he won’t remember it… right?

Wrong. Lack of memory isn’t the same as lack of trauma. Neonatal pain leaves a lasting imprint on the nervous system. Long before we have language, we have sensation. Stress. Fear. Pain. The science on this is clear: early trauma alters brain development.

Still think it’s “no big deal”?

Imagine This Was Any Other Surgery

Let’s flip the script.

What if a pediatrician recommended liposuction for your newborn?

Or Botox to “prevent wrinkles down the line”?

Or surgically altering their eyelids to make cleaning easier?

You’d walk out. You’d file a complaint. You’d go to the media.

But when it’s foreskin, we suddenly accept a lower standard. Why? Because it’s been done for generations? So were leech treatments and bloodletting. Tradition doesn’t make something right.

Because it’s “cleaner”? That’s what soap is for.

Because “everyone else is doing it”? That’s peer pressure, not parenting.

Because “he won’t miss it”? That’s not your call to make.

We don’t judge the value of a body part by how much someone else thinks it matters. We honor bodily autonomy. Or at least, we say we do—until it’s a baby boy.

Let’s Talk Origins—Because This Was Never About Health

Circumcision isn’t new. The earliest records date back over 4,000 years, not in sterile clinics or clean operating rooms, but in ritualistic settings—ceremonies of blood, control, and belonging. The reasons varied across cultures, but one thing was constant: it was never medical.

Fast-forward to Victorian-era America, and things take an even darker turn.

Doctors began promoting circumcision to stop boys from masturbating. Seriously. They believed the foreskin was the devil’s plaything—something to be removed to protect boys from “depravity” and “insanity.”

This wasn’t fringe pseudoscience. It was published in medical journals. It was championed by “reputable” doctors. It was funded. Normalized.

And like all bad ideas, it evolved to survive. When people stopped believing in masturbation hysteria, circumcision became about cleanliness. Then it was about looking like dad. Then it was about reducing STD risk. Then it was “just what we do.”

Here’s a rule of thumb: if you have to change the reason every generation, maybe the reason was never good to begin with.

The Consent Issue Is the Crux of Everything

Consent is the bedrock of ethical medicine. You can’t pierce a child’s ears without permission. You can’t give them antibiotics without parental approval. You can’t even touch a patient without informed consent.

So why is it different when it comes to circumcision?

The patient—the person most affected—can’t consent.

He can’t say yes. He can’t say no. He can’t say, “Actually, I’d like to keep all my body parts intact.”

So we make the decision for him.

But here’s the truth: no one—not a doctor, not a hospital, not even a parent—has the right to permanently alter someone else’s genitals for non-medical reasons.

Not when there’s no disease. Not when it’s irreversible. Not when it’s cosmetic.

Consent isn’t optional. It’s the baseline.

What If This Were About Girls?

Let’s not be afraid of the comparison.

If hospitals were routinely offering cosmetic surgery on baby girls’ genitals, we’d call it what it is: genital mutilation.

We’d be outraged. We’d organize protests. We’d pass laws. We’d see PSAs during the Super Bowl.

There would be no debate.

And yet, here we are—with baby boys—defending the exact same principle under a different name. The World Health Organization has said clearly: non-consensual genital cutting is a violation of human rights. Period.

It doesn’t matter the gender.

“But It’s Just Skin…”

It’s not “just skin.” The foreskin contains over 20,000 nerve endings. It protects the glans (head of the penis), keeps it moist and sensitive, and provides natural lubrication. It plays a role in sexual pleasure, function, and mechanics.

Removing it isn’t neutral. It changes things—forever.

Men who grow up intact often report a drastically different experience than those who were cut. Some circumcised men speak of desensitization, discomfort, difficulty with intimacy. Others are fine—but that’s not the point.

The point is: they didn’t get to choose.

Trauma With a Smile

In most cases, circumcision is scheduled right in the hospital. Parents are encouraged to sign a consent form in between breastfeeding and newborn screenings. It’s presented like a menu item—Would you like the Hep B vaccine, a hearing test, and oh yes, circumcision?

They don’t show you the tools. They don’t play you the audio of your baby screaming. They don’t tell you about the risk of infection, meatal stenosis, excessive bleeding, or in very rare but real cases—death.

Yes, death. From a cosmetic procedure.

Let that sink in.

“But My Son Turned Out Fine…”

We hear this a lot.

Here’s the thing: many people grow up just fine after all kinds of trauma. That doesn’t make the trauma okay.

The fact that you adjusted, adapted, coped? That’s resilience. But what if you didn’t have to cope? What if the trauma never happened? Shouldn’t that be the goal?

The Psychological Toll—Yes, Even Later

Men who learn later in life what was taken from them often experience a range of emotions: anger, grief, betrayal, and confusion. Some pursue restoration. Some fall into silence. Others become vocal activists.

But make no mistake—those feelings are real. That loss is real.

It’s a wound that society tells them to ignore. But pain doesn’t disappear just because we refuse to talk about it.

The Cultural Gaslighting of Parents

Let’s address the elephant in the nursery: parents aren’t villains—they’re victims of a system designed to keep them uninformed.

Hospitals often present circumcision as standard, routine, and harmless. They don’t explain that the procedure is optional. They rarely mention that it permanently removes over 20,000 nerve endings, alters sexual function, or comes with real risks like infection, hemorrhage, and even death.

Instead, they say things like:

🔹 “It’s cleaner.”

🔹 “It’ll help him fit in.”

🔹 “He’ll thank you later.”

That’s not informed consent. That’s marketing. And parents deserve better.

Many moms and dads later say, “I didn’t know.” Or “I thought it was required.”

This isn’t about blaming parents—it’s about empowering them. Because when people are given full, accurate, unbiased information, most choose to leave their babies intact. And that choice—rooted in consent and compassion—is what real progress looks like.

Circumcision Isn’t the Default—It’s the Exception

Here’s something most Americans don’t realize: in much of the world, circumcision isn’t routine. In Europe, intact boys are the norm. In countries like Sweden, Norway, Germany, and Japan, the idea of cutting healthy tissue from a newborn would be met with outrage.

It’s not necessary. It’s not modern. It’s not standard.

So why is the U.S. still clinging to it?

Part of it is inertia—this is how it’s always been. Part of it is profit—insurance companies still reimburse it. And part of it is stigma—men who’ve been circumcised often don’t want to believe something so personal and painful was unnecessary.

But normal doesn’t mean right. Common doesn’t mean ethical. Just because something happens in hospitals doesn’t make it medicine.

And if the rest of the developed world can leave babies intact, so can we.

We Have to Do Better

It’s 2025.

We’re sequencing genomes, editing DNA, growing organs in labs—and yet we’re still performing ritual genital surgery on healthy babies.

This isn’t medicine. This is mythology with a scalpel. We can do better. We must do better.

If Circumcision Were Invented Today…

It wouldn’t make it past the ethics board. It wouldn’t make it to clinical trials.

There would be no Kickstarter. No FDA approval. No press release. No baby swaddled in a sterile room while someone explained the benefits of amputation.

There would be outrage. Lawsuits. Investigations.

Because once you strip away the cultural fog, the truth is inescapable:

Cosmetic surgery on babies isn’t normal. It’s unthinkable.

What You Can Do—Right Now

🔹 If you’re a parent or expecting: Ask questions. Demand answers. Don’t let outdated practices or social pressure dictate permanent decisions for your child.

🔹 If you’re an adult who was circumcised: Your feelings are valid. Your experience matters. You deserved autonomy, and it was taken from you.

🔹 If you’re learning this for the first time: Share it. Start a conversation. Educate someone. Even if it’s uncomfortable—especially if it’s uncomfortable.

🔹 If you’re a healthcare provider: Be honest. Give full, unbiased information. Stop presenting circumcision as a routine, neutral act.

🔹 If you’re a legislator or policy maker: It’s time to protect children—all children. Ban non-consensual genital surgery on minors.

Final Word: This Ends With Us

We don’t inherit this issue—we continue it. Or we end it. Every generation has the chance to break the cycle.

To stop pretending this is normal.

To say: No more.

To finally protect our most vulnerable from harm disguised as tradition.

Because consent isn’t optional.

Because tradition isn’t a defense.

Because love doesn’t cut.

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Marilyn

Marilyn Fayre Milos, multiple award winner for her humanitarian work to end routine infant circumcision in the United States and advocating for the rights of infants and children to genital autonomy, has written a warm and compelling memoir of her path to becoming “the founding mother of the intactivist movement.” Needing to support her family as a single mother in the early sixties, Milos taught banjo—having learned to play from Jerry Garcia (later of The Grateful Dead)—and worked as an assistant to comedian and social critic Lenny Bruce, typing out the content of his shows and transcribing court proceedings of his trials for obscenity. After Lenny’s death, she found her voice as an activist as part of the counterculture revolution, living in Haight Ashbury in San Francisco during the 1967 Summer of Love, and honed her organizational skills by creating an alternative education open classroom (still operating) in Marin County. 

After witnessing the pain and trauma of the circumcision of a newborn baby boy when she was a nursing student at Marin College, Milos learned everything she could about why infants were subjected to such brutal surgery. The more she read and discovered, the more convinced she became that circumcision had no medical benefits. As a nurse on the obstetrical unit at Marin General Hospital, she committed to making sure parents understood what circumcision entailed before signing a consent form. Considered an agitator and forced to resign in 1985, she co-founded NOCIRC (National Organization of Circumcision Information Resource Centers) and began organizing international symposia on circumcision, genital autonomy, and human rights. Milos edited and published the proceedings from the above-mentioned symposia and has written numerous articles in her quest to end circumcision and protect children’s bodily integrity. She currently serves on the board of directors of Intact America.

Georganne

Georganne Chapin is a healthcare expert, attorney, social justice advocate, and founding executive director of Intact America, the nation’s most influential organization opposing the U.S. medical industry’s penchant for surgically altering the genitals of male children (“circumcision”). Under her leadership, Intact America has definitively documented tactics used by U.S. doctors and healthcare facilities to pathologize the male foreskin, pressure parents into circumcising their sons, and forcibly retract the foreskins of intact boys, creating potentially lifelong, iatrogenic harm. 

Chapin holds a BA in Anthropology from Barnard College, and a Master’s degree in Sociomedical Sciences from Columbia University. For 25 years, she served as president and chief executive officer of Hudson Health Plan, a nonprofit Medicaid insurer in New York’s Hudson Valley. Mid-career, she enrolled in an evening law program, where she explored the legal and ethical issues underlying routine male circumcision, a subject that had interested her since witnessing the aftermath of the surgery conducted on her younger brother. She received her Juris Doctor degree from Pace University School of Law in 2003, and was subsequently admitted to the New York Bar. As an adjunct professor, she taught Bioethics and Medicaid and Disability Law at Pace, and Bioethics in Dominican College’s doctoral program for advanced practice nurses.

In 2004, Chapin founded the nonprofit Hudson Center for Health Equity and Quality, a company that designs software and provides consulting services designed to reduce administrative complexities, streamline and integrate data collection and reporting, and enhance access to care for those in need. In 2008, she co-founded Intact America.

Chapin has published many articles and op-ed essays, and has been interviewed on local, national and international television, radio and podcasts about ways the U.S. healthcare system prioritizes profits over people’s basic needs. She cites routine (nontherapeutic) infant circumcision as a prime example of a practice that wastes money and harms boys and the men they will become. This Penis Business: A Memoir is her first book.