Going way off topic here, but it was pretty harmful to me.
It's at best a cosmetic procedure. The troubling thing is that we perform this cosmetic procedure on patients who have no ability to report problems during healing. When something goes wrong, the patient has no way of knowing what's normal or not. I'm not the only person who went through a big chunk of their life thinking that something abnormal and utterly wrong was just a normal part of being a man. Hell, I didn't even know it had been done to me until I had already taken drastic measures to correct the physically painful problem I had that I had thought was a completely normal part of being a man.
And maybe it really is. I don't know. My doctor said that my female mind might have been interpreting something that should have felt pleasurable as intolerable pain. I'm not sure I entirely buy that. Despite the help he provided me, his idea of gender transition was Rocky Horror Picture Show. I've never heard another account like mine from another trans woman, and side effects that aren't cosmetic or don't revolve around sexual pleasure later in life simply aren't studied, so there's no evidence to support or refute his claim.
I feel sorry for my ex-parents. If they had just kept their hands off my dick, they might have had the grandkids they wanted so much. Well, shit happened, and now they'll never have grandkids.
"Mutilation" or not, the ethics are apalling. According to the American Academy of Pediatrics, the primary reason we do this to infants is to protect them from sexually transmitted diseases. How much sex does the typical infant have?
There's the UTI argument, but that barely holds any water. UTI is a routine condition that infants develop, and female infants have a higher rate of UTI. The way I see it, why can't we just accept that maybe male infants in their intact state just have a little higher rate of incidence of UTI than female infants? Why don't we research cosmetic surgeries to perform on female infants to bring their rate of incidence of UTI down in line with the rate of incidence for circumcised male infants?
If the evidence is to be believed, then it would be more ethical to perform the procedure on a child after 24 months. The foreskin is not fully developed until then, and many side effects such as skin bridges could be completely avoided if the procedure were performed after the foreskin had fully developed. It would also allow a better opportunity to administer local anesthesia, since any kind of anestesia is risky to perform on a newborn.
I don't see any kind of rationality surrounding the issue like what I proposed above. I mean, for FSM's sake, it's a cosmetic procedure at best. Nobody seriously believes that it's more effective at preventing transmission of STDs than a condom! Well, unless you're a victim of this practice in rural Africa. They do, and the results have been tragic. Relying on circumcision to prevent the spread of HIV/AIDS/GRID and other STDs has led to widespread infection there. Clearly, circumcision is ineffective at controlling infection, regardless of the percentage point here or there that the AAP reported.
All I can figure is that the point of performing it on newborns is so that the patient never knows that he is missing a body part that is design to protect the glans from external irritation. The patient might protest and advocate against the practice if he were to be aware that before the body part was amputated, there was no pain or irritation, and afterwards there was. The patient might report more complications instead of beliving those complications are simply a part of being a man, and the rate of incidence recorded would probably increase.
Iirc the AAP currently reports that 1/500 circumcisions have complications. How much higher would that be if we preformed this procedure on 4 or 5 year olds the same way we wait until a child is about that age before removing their wisdom teeth? I don't know, and by performing this procedure on infants who come into consciousness never knowing what it's like to be intact with a foreskin protecting the glans from irritation, it's impossible to know.
Based on that, I believe we can call it a "mutilation" and even a form of child abuse. The fact is that if it were simply a procedure such as removing wisdom teeth that was based on medical wisdom, we would wait until the patient were old enough to report problems that would indicate follow-up care. It's a pet peeve of mine that anti-circumcision groups ("intactivists") throw around arguments based on some kind of sexual pleasure or somesuch. I would be happy just knowing life without genital pain.