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Dr. Shweder says that many Westerners trying to impose a “zero tolerance” policy don’t realize that these initiation rites are generally controlled not by men but by women who believe it is a cosmetic procedure with aesthetic benefits. He criticizes Americans and Europeans for outlawing it at the same they endorse their own forms of genital modification, like the circumcision of boys or the cosmetic surgery for women called “vaginal rejuvenation.”