Lion and massive bleeding. Occasionally, an overzealous circum- ciser has been known to sever the head of the penis, or glans, while removing the foreskin. Dr. Ricardo Gonzalez, chief of pediatric urology at Detroit Medical Center's Children's Hospital of Michigan and a professor of urology Wayne State University School of Medicine, said that routine circumci- sion for the masses may-not be worth the risks. "Let's assume that [the potential health benefits] are true. Is that a sufficient reason to do a circumci- sion?" he asked. "Circumcision costs millions of dollars in health costs each year. It has never been proven at the risks and costs of doing such a surgical procedure are worth the benefit." In fact, he said, most Americans who request circumcision for their sons do so for purely cosmetic rea- sons. Gonzalez frequently sees par- ents of uncircumcised toddlers in his office who want the procedure done when it is not medically indicated. "Now parents want their children to look like their fathers," Gonzalez said. "It is a cosmetic thing right now. Both the American Academy of Pediatrics and the-American College of Obstetrics and Gynecology agree. A 1983 jointly issued recommenda- tion based on earlier task force find- \ ings stated, "There is no absolute medical indication for routine cir- cumcision of the newborn. The findings have become part of the basis of the anti-circumcision movement. Taking root in the 1970s around the same time that natural childbirth was gaining adherents, the movement's aim is to reduce the rates of circumcision in America to those -cound in Asian, Hispanic and " _ • [rather] than postpone the opportu- nity," he said. Unlike some Jewish movements that allow female rnohelim, only men can perform an Orthodox brit milah and only after they have been trained in Jewish law and have interned under a more experienced mohel. And the mohel must be Orthodox. In the case of a child born of a Jewish mother and a non-Jewish father, the child is considered Jewish and the mother is required to arrange growth. Adherents have formed a movement, NORM (National Organization for Restoring Men). The Michigan chapter is also headed by Cohen. "There are men like me who are restoring to reclaim their right, to reclaim what was taken from them," Cohen said. "It is saying that I did not consent." Gonzalez explained, however, that the foreskin is a flap of skin with Photo courtesy of Cheryl Ettinger nerve endings that shields the head of the penis. When removed, the nerve endings cannot grow back, even if the skin is stretched. He also feels the theory of desensitization is Left: . remote. "How can they Cheryl Ettinger, know the difference?" pictured with her he asked. "It seems like first son, mustered they are trying to solve a lot of courage for a problem of sexual dys- her second son's function." circumcision. While foreskin regrowth may have a l u restorative effect on Right• s some, anti-circumcision Dr. Ronald Goldman activists are trying to is a psychologist reduce the rate of cir- who researches r i curricision through edu- the effects of § cation. In their litera- circumcision. ture, they dispel med- ical reasons for circum- cision and pepper the men in the move- pages with gruesome ment found that anatomical depictions many reported a of the procedure. depression and mis- But the literature trust of authority takes on an entirely dif- that could be ferent tone when addressing the linked directly to the circumcision. Jewish population. It states, for Others said they had suffered from example, that a child born of a diminished sexual pleasure and a feeling of not being whole as a result. Jewish mother who is not circum- cised is still a Jew. Some have tried to "regrow" their "The movement is seen as anti- foreskin, a procedure whereby the Semitic, so we need to address that existing penile skin is stretched and --- it isn't anti-Semitic," Cohen said. held in place to facilitate new skin European countries, where circumci- sion is prevalent only among reli- gious groups. The men's movement in the late 1980s picked up the cause, claiming that the procedure is akin to female genital mutilation practices in Africa. The leaders of the movement charged that as a result of circumci- sion, they had suffered irreparable emotional damage that followed them through their lives. Surveys of o for the brit milah. In the opposite case, where the mother is not Jewish, a formal conversion is required before a proper beit din or rabbinical court. The brit milah is held independent of the eighth day, he said. Conservative: Rabbi Joel Roth, former Detroiter and professor at the Jewish Theological Seminary in New York, said the requirements of circumci- sion in the Conservative movement are identical to those in Orthodoxy, except that the mohel can be female. "We see no valid legal reason why women cannot serve as mohelim," he Another difference is that the Conservative movement, through JTS, is offering a formal training pro- gram to Jewish physicians who live in areas that may be underserved by mohelirn. The Brit Kodesh program, in its seventh year, focuses on Jewish law, figuring that the physicians who take the program already know how "We are careful not to criticize Judaism, but to criticize the specific practice of cutting flesh on an unconsenting minor." Cohen, the son of a Conservative rabbi; began to question his own cir- cumcision after becoming active in the movement in the early 1990s. The more information he read about circumcision, the angrier he became at his parents for having submitted him to the procedure. "They did it on belief, but they did it to someone else: me," he said. "A child did not give consent." He made it his mission to reduce the number of circumcisions in the area, as well as in the Jewish popula- tion, by providing information through the local NOCIRC chapter, which he began in 1992. Cohen, the unpaid director of the organization, argues that the practice among Jews continues today in part because of aesthetics: Jewish men do not want their sons to look different. He points out that many Jews are not ritually observant of kashrut or Shabbat but circumcise their sons. And many of those who do cite med- ical reasons rather than religious faith. "That should be disturbing to the rabbis who are promoting the prac- tice," Cohen said. Others, he said, go ahead with the bris because they feel a need for Jewish continuity, as if the mark of the covenant will keep the child Jewish. But Cohen points out that the intermarriage rate in the past few years has been holding at about 50 percent, making circumcision a less reliable means of continuity. "The majority of the non-Jewish population in the country circumcis- es, so how can the Jewish population BREAKING on page 72 to perform a circumcision, Roth said. However, Roth said all mohelim should have proper training 'Anyone who did circumcision without proper training is an insur- ance nightmare ," he said . Reconstructionist: Rabbi Mordecai Leibling, execumre director of the Jewish Reconstructionist Federation in Wyncote, Penn., said that the Reconstructionist movement recog nizes the importance of brit milah but 3/20 1998 69