Should You Circumcise Your Baby Boy?

Circumcision probably won’t impact your son’s health, research shows, but a range of cultural and social factors deserve your consideration.

By Susan Reslewic Keatley
February 4, 2026

Originally published July 12, 2019 in NYT Parenting

Should you circumcise your newborn son? For some parents, the answer is clear from the moment they know they’re having a boy. For others, the decision is more fraught, and may be anxiously debated into the delivery room and beyond.

Male infant circumcision, the removal of the foreskin from a baby boy’s penis, is far more common in the United States than in most industrialized countries, though rates have declined since the 1970s. A 2013 CDC report found that the national rate of newborn circumcision dropped from about 65 percent in 1979 to about 58 percent in 2010. A more recent Johns Hopkins study in 2022 has shown that U.S. circumcision rates have fallen below 50%.

For some families, circumcision is guided by religious tradition. Most American parents who choose circumcision do so for other reasons, such as beliefs about hygiene or a desire for the child’s penis to resemble that of his father or peers. As circumcision rates decline, children are increasingly likely to resemble peers regardless of parental choice.

HOW SHOULD PARENTS DECIDE?

“First, take a breath,” said Dr. Andrew Freedman, M.D., pediatric urologist and member of the AAP task force behind the 2012 policy. “Whatever you do, your child will be fine.”

Experts generally agree that parents should weigh medical benefits and risks alongside religious, cultural, and social considerations. Parents should also understand how to care for their child’s penis, circumcised or not, and how to recognize complications.

Key considerations:

* Consider the medical benefits in context
* Understand that risks are low
* Consider non-medical factors
* Take steps to minimize complications if circumcising
* If not circumcising, leave the foreskin alone

MEDICAL BENEFITS AND LIMITATIONS

Prevention of urinary tract infections (UTIs) is considered the strongest medical benefit in the U.S. The risk of UTIs in uncircumcised boys under age 2 is about 1 percent; in circumcised boys, about 0.1 percent, in the first year of life. However even this negligible amount of cares are easily treated with antibiotics. After the first year, UTI rates are similar for all boys.

Some studies suggest circumcision may reduce penile cancer risk, but when controlling for factors such as phimosis, the protective effect diminishes. Penile cancer is extremely rare in the U.S.; an estimated 300,000 circumcisions would be required to prevent one case.

Circumcision has been shown to reduce risk of HIV infection. However, HIV studies were conducted in Africa, where transmission patterns differ significantly from those in the United States. Studies involving men who have sex with men have been inconclusive. Experts note that condom use is far more effective for STI prevention in the U.S. context.

RISKS OF CIRCUMCISION

Approximately 11.5 percent of circumcised infants experience complications within five years. The most common are meatal stenosis, bleeding, and infection. Adhesions are also common and can be unsightly. They may require treatment and removal. Disfigurements and deaths also have occurred, but are less common. One study estimated deaths in the U.S. at 117 of babies per year.

NON-MEDICAL FACTORS

Circumcision rates vary widely worldwide. Rates exceed 95 percent in parts of the Middle East, while rates in Western Europe are under 15 percent, where circumcision of minors is controversial.

Experts emphasize that most parents ultimately decide for non-medical reasons.

IF YOU DECIDE TO CIRCUMCISE

* Ensure your baby is medically cleared
* Use a trained practitioner
* Pain relief should be provided
* Procedure typically lasts 10–15 minutes
* Best performed before 6 weeks of age
* Monitor for bleeding afterward
* Use petroleum jelly to prevent sticking during healing

IF YOU DO NOT CIRCUMCISE

The foreskin of infants is naturally tight and loosens with age. No special cleaning is required. Parents should not attempt forcible retraction. By early childhood, boys can learn to retract and clean themselves.

In rare cases, phimosis may require treatment, often with steroid cream. Fewer than 2 percent of boys in countries where circumcision is uncommon require later surgical intervention.

WHEN TO WORRY

Contact a doctor immediately if there are signs of bleeding, infection, adhesions, skin bridges, or abnormal appearance after circumcision. Phimosis, paraphimosis, or inflammation should be evaluated by a physician.