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I ran into this when my ODA went to Sudan in the late 80's, before it was two countries. In the big cities such as Khartoum and Omdurman, it's a surgical procedure complete with anesthesia. In the countryside (everywhere else) it's a sharp piece of glass and the child's female relatives holding them down while ignoring her screams. This form of female genital mutilation is based on the all too common Islamic belief that women should not enjoy sex and it's tragic and brutal.
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