Noam Chomsky
Mark Kingwell Charles Tayler
Naomi Klein
Arundhati Roy
Evelyn Lau
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Mona Eltahawy
Michael Moore
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Loury
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Tariq Ali
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Rochelle Gurstein
Alex Waterhouse-Hayward
FEMALE GENITAL MUTILATION IN SOMALIA
by
REBECCA COLLINS
_________________________________________
Rebecca
Collins is a freelance writer/editor.
WARNING:
DISTURBING, EXPLICIT GRAPHICS
Listen to an audio version of this essay:
As
someone from the West, I find the practice of Female Genital
Mutilation (FGM) deeply disturbing. The idea that young girls
can be subjected to a painful, irreversible procedure with
no medical benefit is difficult to accept. While I recognize
that cultural traditions differ widely across societies, I
believe that practices which cause lasting physical and psychological
harm should always be open to scrutiny. My reaction is especially
strong when I consider the lifelong consequences for girls
and women, including their health, dignity, and ability to
live without avoidable suffering.
FGM
is extremely widespread in Somalia, and the country is consistently
reported as having one of the highest prevalence rates in
the world. According to major international surveys, around
98% of women and girls aged 15–49 in Somalia have undergone
some form of FGM. This places Somalia at the very top globally
in terms of prevalence, meaning the practice is nearly universal
in many communities. The most common form is the most severe
type, often involving significant cutting or narrowing, which
increases the risk of complications later in life.
The
practice itself involves the partial or total removal of external
female genital tissue for non-medical reasons. It is usually
performed on young girls, often before puberty, meaning they
are unable to give informed consent. In most cases, the procedure
is carried out in non-clinical environments without proper
medical equipment or anesthesia. This alone creates immediate
dangers.
Traditional
practitioners (cutters or local midwives) perform the procedure
without formal medical anesthesia, sedatives or pain relief.
Several adult women or female relatives forcibly hold the
girl down to prevent her from moving during the cutting. In
some instances, local herbs, ashes, or cold water are applied
immediately after the cut, but these serve to stem bleeding
or ward off infection rather than numb the intense pain.
The
short-term health effects can be severe. Girls often experience
extreme pain, heavy bleeding and traumatic shock. Infections
are common due to unsterile instruments and poor conditions.
In more serious cases, excessive blood loss or untreated infection
can lead to death. Even when girls survive the procedure,
many are left with injuries that take a long time to heal.
The
long-term consequences are equally serious and often lifelong.
Many women suffer from chronic pelvic pain, urinary tract
infections and complications during menstruation. Scar tissue
can lead to physical obstruction and discomfort, and some
women require corrective surgery later in life. Pregnancy
and childbirth can also become significantly more dangerous.
Women who have undergone FGM face higher risks of obstructed
labour, excessive bleeding during birth and other serious
complications that can endanger both mother and child.
Another
aspect of FGM that is often discussed but less openly acknowledged
is its impact on sexual health and intimacy. The procedure
frequently removes or damages sensitive tissue that plays
a role in sexual sensation. As a result, some women report
reduced or absent sexual pleasure, pain during intercourse,
or emotional difficulty with intimacy. Critics argue that
this can interfere with a woman’s ability to fully participate
in conjugal relationships and experience sexual well-being
within marriage. From a human perspective, it raises concerns
about whether individuals should be subjected to permanent
bodily changes that affect such an intimate part of life without
their consent.
Beyond
physical effects, the psychological impact can be profound.
Many women describe feelings of fear, trauma or anxiety related
to their experience. Because FGM is often carried out in childhood,
the memory of the event can remain deeply distressing into
adulthood. Some women also report feelings of loss or violation,
especially when they later learn more about what was done
to them.
International
organizations such as the World Health Organization and UNICEF
have consistently condemned FGM. They emphasize that it has
no health benefits and violates fundamental human rights,
including the right to bodily integrity and personal autonomy.
These organizations also highlight that the practice is not
limited to one region or religion, but is found in various
communities across parts of Africa, the Middle East, and beyond,
though Somalia is among the countries with the highest prevalence.
In
recent years, Somalia has taken steps toward addressing the
issue. The provisional constitution describes female circumcision
as a cruel and degrading practice, and there have been efforts
at both national and regional levels to introduce stronger
legal protections. Public health campaigns, community discussions,
and engagement with religious leaders have helped increase
awareness of the harms associated with FGM.
However,
progress has been uneven and is often described as slow by
critics. One major concern is the lack of a fully implemented
national law that clearly criminalizes all forms of FGM across
the country. Even where policies exist, enforcement is often
weak, particularly in rural areas where traditional authority
structures remain strong and access to healthcare and education
is limited.
Another
criticism is that some intervention strategies focus on reducing
the severity of cutting rather than eliminating the practice
entirely. Some communities have adopted what they view as
'less severe' forms of FGM, believing this to be a compromise.
However, many health and human rights advocates argue that
all forms of FGM carry risks and should be abandoned completely,
as even minor cutting can cause physical harm and reinforce
harmful social norms.
There
is also the issue of social pressure, which remains one of
the strongest forces sustaining the practice. In many communities,
families fear that daughters who are not cut will be stigmatized
or considered unsuitable for marriage. This creates a cycle
in which individuals may privately oppose the practice but
still feel compelled to continue it due to fear of social
exclusion.
Despite
these challenges, there are signs of gradual change. More
Somali women, young people, healthcare workers, and community
leaders are speaking openly against FGM than in the past.
Education and awareness efforts are helping shift attitudes,
especially among younger generations. In some areas, families
are choosing to abandon the practice altogether, reflecting
a slow but meaningful cultural shift.
Without
apology, my Western background doubtlessly influences how
I view FGM, but my opposition is grounded in concerns about
health, human rights and personal freedom. The practice can
cause severe physical harm, psychological trauma, complications
in childbirth, reduced sexual well-being, and in some cases
death. While cultural traditions should be understood in context,
they should not be exempt from criticism when they result
in preventable suffering. If meaningful progress is to be
made, it will likely require stronger laws, consistent enforcement,
continued education and sustained community engagement within
Somalia itself.