Circumcision is usually done by a doctor at a clinic, in the hospital, or at an outpatient surgery center. During the procedure:

• The baby is placed on a firm surface. Velcro straps are wrapped around the baby's arms and legs to keep him very still.
• The penis is cleaned.
• The surgical area is often numbed with a local anesthetic while the baby stays awake. If your baby is age 1 month or older, he or she may need general anesthesia. Talk with your doctor about the best way to control pain in your child.
• A sterile circumcision clamp or device is placed over the head of the penis. The three most common types of clamps used are the Gomco clamp, the Mogen clamp, and the Plastibell device. Each clamp has pros and cons, although differences between the clamps are often minor. Most doctors use the clamp they are most comfortable with.
• The foreskin is removed using a sterile scalpel or scissors.