01Non-maleficence
Do no harm
The principle of non-maleficence requires that medical practitioners not intentionally cause a needless injury to the patient. Childhood circumcision involves the permanent surgical removal of healthy, protective, erogenous tissue from a child, and is therefore a needless injury.
Childhood circumcision violates the principle of non-maleficence.
02Beneficence
The act of doing good
The principle of beneficence requires that health care professionals provide a benefit to a patient. Because routine childhood circumcision provides no benefit to the child, removes a normal body part, and exposes him to unnecessary risk, trauma and pain.
It violates the bioethical principle of beneficence.
03Justice
Fairness and equal protection
In the United States, girls of all ages are protected by law from all medically unnecessary genital surgeries. Boys are entitled to the same legal protection. There is no acceptable rationale for a distinction in law between female and male genital modification.
Circumcising a baby boy violates the principle of justice.
04Autonomy
Right to self-determination
The bioethical principle of autonomy invests every person with the right to make decisions regarding his or her own body. Our Declaration of Independence states that we are 'endowed with certain unalienable rights,' including self-determination.
Infant circumcision violates the principle of autonomy.