Proposed Reforms
Visualization 01 · Autonomy page

Pediatric outcomes, out of 1,000 boys

Six childhood outcomes — three cited as benefits, three as harms — each redrawn as real counts out of 1,000 boys instead of a bare percentage. Every one of these is an outcome that can happen, if it happens at all, before a boy is old enough to have been asked. Pick an outcome below to see its grid.

Pediatric Concerns

Choose an outcome

Out of every 1,000 boys circumcised to see the effect.

See the full discussion and sources on the Bodily Autonomy page →

Visualization 02 · Anatomy page

Fine-touch sensitivity, by region

In 2007, Sorrells and colleagues tested 19 sites across the penis with calibrated monofilaments, in both intact and circumcised men.[2] Five regions, ranged from each region's most to least sensitive site. Expand any region for every individual site Sorrells measured in it.

◀ More sensitiveLess sensitive ▶
Foreskin & inner mucosa 0.093g – 0.353g
8 individual sites — click to expand

Most sensitive: rim of the preputial orifice (dorsal, 0.093g) · least sensitive: outer prepuce (ventral, 0.353g). Exists only on an intact penis — every site here is removed by circumcision.

Rim of the preputial orifice (dorsal)
Intact
0.093g

Most sensitive site of all 19 measured, on either penis · removed by circumcision

Frenulum, at the muco-cutaneous junction (ventral)
Intact
0.159g

Removed by circumcision

Frenulum, near the ridged band (ventral)
Intact
0.177g

Removed by circumcision

Muco-cutaneous junction (dorsal)
Intact
0.192g

Removed by circumcision

Ridged band (dorsal)
Intact
0.205g

Removed by circumcision

Rim of the preputial orifice (ventral)
Intact
0.230g

Removed by circumcision

Outer prepuce (dorsal)
Intact
0.294g

Removed by circumcision

Outer prepuce (ventral)
Intact
0.353g

Removed by circumcision

Frenulum remnant & coronal sulcus 0.371g – 0.710g
3 individual sites — click to expand

Most sensitive: preputial mucosa near the corona (dorsal, intact, 0.371g) · least sensitive: coronal sulcus (circumcised, 0.710g). The frenulum is "frequently removed or divided during circumcision, sometimes without that being discussed in advance" — these are the sites Sorrells could still measure in both groups.

Frenulum, at the urethral slit
Intact
0.407g
Circ.
0.433g
Preputial mucosa, near the corona (dorsal)
Intact
0.371g
Circ.
0.445g
Coronal sulcus (dorsal)
Intact
0.519g
Circ.
0.710g
Shaft & coronal ridge 0.562g – 1.127g
4 individual sites — click to expand

Most sensitive: shaft, proximal to corona (ventral, circumcised, 0.562g) · least sensitive: coronal ridge (ventral, circumcised, 1.127g).

Shaft, proximal to corona (dorsal)
Intact
0.681g
Circ.
0.716g
Shaft, proximal to corona (ventral)
Intact
0.759g
Circ.
0.562g
Coronal ridge (dorsal)
Intact
0.778g
Circ.
0.941g
Coronal ridge (ventral)
Intact
0.952g
Circ.
1.127g
Glans 0.911g – 1.180g
2 individual sites — click to expand

Most sensitive: glans, at the meatus (circumcised, 0.911g) · least sensitive: middle of the glans (dorsal, circumcised, 1.180g). Not removed by circumcision, and the region where the two groups differ least — with one exception, below.

Glans, at the meatus
Intact
0.979g
Circ.
0.911g
Middle of the glans (dorsal)
Intact
1.141g
Circ.
1.180g
The circumcision scar 0.192g – 0.333g
2 individual sites — click to expand

Most sensitive: scar (ventral, 0.192g) · least sensitive: scar (dorsal, 0.333g). Circumcised men only. The one genuine surprise in the dataset: the scar itself tested as the single most sensitive site on a circumcised penis — more sensitive than the glans, and not far off the intact foreskin's own numbers.

Scar (dorsal)
Circ.
0.333g
Scar (ventral)
Circ.
0.192g

Most sensitive site on a circumcised penis

0.09g 0.34g 0.64g 0.93g 1.18g

Bar position is normalized across the full 0.093g–1.180g range Sorrells measured, so every bar on this page is directly comparable to every other. Lower gram-force means a lighter touch was enough to feel it, so bars further left are more sensitive. Raw values from Table 2 of the source paper.[2]

Read the full discussion on the Anatomy page →

Visualization 04 · Policy & funding

What happened when ten states stopped paying for it

Between 2002 and 2005, ten states dropped Medicaid coverage for newborn circumcision within a five-year window — a natural experiment a 2021 study used to isolate the policy's real effect on behavior. The design has a built-in control group: privately insured births in the same states, over the same years.

Torosian, Quint & Klausner, 2021 · Nationwide Inpatient Sample, 1998–2011
Before defunding
49.7%
After defunding
28.3%
−21.4 pts
Medicaid-covered newborns, before vs. after
−3.2 pts
privately-insured newborns — the control group, coverage never changed
163,456
estimated circumcisions not performed, over the post-policy period
Arizona 2002 Missouri 2002 North Carolina 2002 Florida 2003 Montana 2003 Utah 2003 Maine 2004 Idaho 2005 Louisiana 2005 Minnesota 2005

Both bars above are the rate among Medicaid-covered newborns specifically, before and after their state stopped paying for the procedure — not a statewide or national average. The much smaller move in the privately-insured control group, same states and years, is what makes the case that this drop tracks the policy itself rather than a broader cultural shift that would have shown up in both groups equally. Source: Torosian T, Quint JJ, Klausner JD, “Decline in Frequency of Newborn Male Circumcision After Change in Medicaid Coverage Status in Selected States in the United States,” Public Health Rep. 2021;136(3):338–344.[4]

Visualization 05 · History page

Physicians who skipped pain relief entirely

A national survey of US physicians performing newborn circumcision, mailed in 1997–98, found that a majority used no pain relief of any kind — not "no general anesthesia," no pain relief at all. The gap by specialty is the sharpest single number in the data.

Stang & Snellman, 1998 · n=1,778 physicians
55%
45%

55% used no pain relief of any kind · 45% used something

Pediatricians
71%
Family practitioners
56%
Obstetricians
25%
Feared drug side effects
54%
"Doesn't warrant it"
44%

Obstetricians, who performed a large share of newborn circumcisions in this era, used any pain relief barely a quarter of the time — less than half as often as pediatricians. Source: Stang HJ, Snellman LW, “Circumcision practice patterns in the United States,” Pediatrics 1998;101(6):e5.[3]

Read the full timeline entry on the History page →

Visualization 06 · Trauma page

Newborn pain can change later pain responses

A 1997 prospective study followed 87 infants into three groups: intact, circumcised with anesthetic cream, and circumcised with no pain relief at all. At the next routine vaccination, months later, their pain response stepped up in exactly that order — the strongest single finding on the page this chart comes from.

Visual-analogue pain score at the four-to-six-month vaccination, in cm above pre-injection baseline · n=87

Intact no circumcision (n=32)
3.1 cm Intact3.1 cm above baseline · n=32
Circumcised + EMLA anesthetic cream at circumcision (n=29)
3.3 cm EMLA group3.3 cm above baseline · n=29 · not significantly different from intact
Circumcised + placebo no pain relief at circumcision (n=26)
5.1 cm Placebo group5.1 cm above baseline · n=26 · significantly higher than intact, p<0.05

0 cm6 cm

Intact Circumcised, pain relief (EMLA) Circumcised, no pain relief (placebo)

Taddio A, Katz J, Ilersich AL, Koren G. "Effect of neonatal circumcision on pain response during subsequent routine vaccination." Lancet, 1997;349(9052):599–603.[1]

Read the full discussion on the Trauma page →

References

Sources cited on this page

  1. Taddio A, Katz J, Ilersich AL, Koren G. "Effect of neonatal circumcision on pain response during subsequent routine vaccination." The Lancet, 1997;349(9052):599–603. DOI 10.1016/S0140-6736(96)10316-0. PMID 9057731..
  2. Sorrells ML, Snyder JL, Reiss MD, et al. "Fine-touch pressure thresholds in the adult penis." BJU International, 2007;99(4):864–869. See the full discussion on the Anatomy page.
  3. Stang HJ, Snellman LW. "Circumcision practice patterns in the United States." Pediatrics, 1998;101(6):e5. PMID 9606247. A national survey of US physicians performing newborn circumcision. See the full discussion on the History page.
  4. Torosian T, Quint JJ, Klausner JD. "Decline in Frequency of Newborn Male Circumcision After Change in Medicaid Coverage Status in Selected States in the United States." Public Health Rep., 2021;136(3):338–344.
  5. Moore P. "Young Americans Less Supportive of Circumcision at Birth." (opens in new tab) YouGov, February 3, 2015.