Male circumcision is one of the most common surgical procedures performed, with an estimated 38.7% of males circumcised worldwide.1 Given an annual global birth rate of 70 million boys,2 around 27 million male circumcisions are performed per year, of which half are religiously or culturally motivated.3 In recent years, increasing evidence has linked male circumcision to lower rates of asymptomatic urinary tract infections, especially during infancy,4,5 and to a lower risk of sexually transmitted diseases, notably human immunodeficiency virus (HIV).6 This evidence has led to global attention on the prophylactic role of circumcision, with scale-up strategies being advocated in many countries with a high prevalence of HIV and acquired immunodeficiency syndrome,7 especially in sub-Saharan Africa. In Muslim-majority countries like Pakistan, male circumcision is considered an essential religious practice.3 This obligation contributes to large surgical volumes, making it even more important that circumcisions should be performed safely with the lowest possible risk of adverse events…more