In contrast to the USA where a high percentage of boys are still routinely genitally mutilated shortly after birth, in Europe the practice is now mainly confined to children born into certain ethnic or religious communities. Over recent years, tradi-tional acceptance of ritual genital 'cutting' of male children in Europe has faced increasing challenge. The discrepancy between children as independ-ent holders of rights and parents as absolute arbiters of their children’s wel-fare has been noted and actioned by several medical, Governmental, non-Governmental and human rights organisations. There remains fierce re-sistance to change both from within and without the traditional genital mutilating com-munities. Some of these developments, tensions and contradictions will be explored, along with a discussion of some of the main hurdles and the signif-icant progress that is being made in advancing child safeguarding and pro-tecting all children from ritual genital cutting. Ripples Across the Pond An update on non-therapeutic male circumcision in Europe by Dr Antony Lempert MB BS MRCGP Recorded at the 15th International Symposium on Genital Autonomy and Children's Rights in San Francisco, May 4-6, 2018
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