"... and may even be done without anesthesia, with unsterilized knives or even glass. A just-say-no policy may end up alienating these families, who are going to then find an alternative that will do more harm than good."
And so the American Academy of Pediatrics' committee on bioethics has issued a policy statement recommending an exception to the criminal law against "any nonmedical procedure performed on the genitals" of a girl. A small cut of some kind... for the greater good. A ritual nick is that's "supposed to be as benign as getting a girl's ears pierced. It’s taking a pin and creating a drop of blood."
Creating a drop of blood.