Thanks for going into all the technical stuff that I was about to do, Joy.
I have assisted at circumcisions performed on newborn males at my place of work. Our fees for the procedure in hospital are currently $225 (Canadian). (Hospital fee = $125, Doctor's fee = $100).
Current practice in the province of Ontario requires that all infants undergoing circumcision have proper analgesia. Five minutes before the procedure begins, the nurse administers a small dose of sucrose to help the baby with pain control. Then the baby gets 3 tiny injections of freezing agent (like when you go to the dentist) around the base of the penis, and the doctor has to wait 5 minutes before he or she can even go near the baby with the instruments. Then another 5 minutes has to elapse once the clamp is in place before the scalpel is used. Once the foreskin is removed, a strip of vaseline gauze is wrapped around the glans. Bleeding should be minimal, and the baby is monitored over the next several hours to make sure he is able to pee.
Whenever parents are uncertain about whether they should circumcise their baby boy or not, I always ask them what the pros and cons are as far as they are concerned. We always provide basic hygiene teaching to parents and emphasize that it is no more troublesome to teach an intact male about proper hygiene than it is to teach a little girl to wipe from front to back, or teaching a child to brush their teeth. If the issue is a cosmetic one (wanting to look like daddy), there are ways of dealing with that too. For example, I offer the suggestion that all parents have to say is that "When daddy was little, this is what everyone did because they thought it was better for their babies. Now we know that the way you are when you are born is just fine." The other cosmetic issue is that mothers think that an uncircumcised penis is unattractive and that years from now "his wife/girlfriends will thank me". I've never said this to a patient (I'm too diplomatic ), but I've often thought "Well you aren't the one that's going to be having sex with him, so what difference does it make to you?" What I do say is that the glans of the uncircumcised penis is a lot more sensitive, because scar tissue does not build up on it from being constantly exposed to fabric, and that "he might thank you a lot more if you leave it alone".
Love, Scully