| Pain and brain | References |
| Infants remember NMC pain only when no anesthesia is used, leading to anesthesia being recommended | Taddio et al. [133] |
| No evidence of lasting brain changes, nor psychological trauma in neonatally circumcised men | Ullmann et al. [171] |
| No psychological problems among Swedish schoolboys circumcised for phimosis, apart from “shyness and unwillingness to undress in school gym” | Stenram et al. [173] [174] |
| A report of an “after-hours” MRI claiming brain changes from NMC was likely a fabrication | Schaab [176] |
| UK longitudinal study of >5000 males followed from birth to age 27 found no difference in developmental and behavioural indices between the circumcised and uncircumcised | Calnan et al. [172] |
| New Zealand longitudinal studies found no difference in psychological outcomes between neonatally circumcised and uncircumcised males | Fergusson et al. [142] [143] , Moreton [144] |
| A study claiming MC causes alexithymia was fundamentally flawed | Morris & Waskett [145] |
| Body dysmorphic disorder has been linked to alexithymia | Fenwick & Sullivan [147] |
| Alexithymia is likely a stable personality trait not simply a consequence of psychological distress | Taylor et al. [148] |
| Psychological harm may stem from anti-MC (intactivist) influence not NMC | Circumcision Choice [153] |
| “Foreskin restoration” | References |
| Various psychological disorders [158] [159] are more common in those circumcised men who are preoccupied by their absent foreskin | Mohl et al. [146] |
| One of these may be partialism, which is an “exclusive focus on a part of the body” | Kafka [159] , American Psychiatric Association DSM-5 [158] |
| Partialism is linked to alexithymia | Fenwick & Sullivan [147] |
| Men preoccupied with their absent foreskin represent a subgroup within the MSM community | Mohl et al. [146] |
| Legal, ethical & human rights arguments opposing MC | References |
| These arguments are contradicted by expert evaluations | Rivin et al. [23] , Morris et al. [24] , Benatar & Benatar [44] [45] , Bates et al. [46] , Benatar [47] , Jacobs [48] , Jacobs & Arora [49] , Bester [50] |
| The UN Convention on the Rights of the Child supports the rights of the child to the enjoyment of the highest attainable standard of health | United Nations Human Rights Office [178] |
| Since benefits greatly exceed risks, it would be unethical to leave boys uncircumcised | Bates et al. [46] , Jacobs [48] |
| Children have the right to preventive health care | Rivin et al. [23] |
| Arguments opposing MC on the basis of “autonomy” have been refuted by ethicists | Benatar [47] , Jacobs [48] , Jacobs & Arora [49] , Bester [50] , Clark et al. [179] , Mazor [180] |
| Being circumcised boosts autonomy more than constraining it | Brusa & Barilan [181] |
| The Hippocratic Oath contains the statement, “I will prevent disease whenever I can, for prevention is preferable to cure” | Johns Hopkins University [187] |
| The nature and consequences of “intactivism” | References |
| Suicides have been reported for circumcised men who developed psychological problems after succumbing to anti-MC rhetoric that their NMC had deprived them of a fulfilling sex life | Bay Area Intactivists [194] , Intaction [195] |
| Anti-vaccination proponents are more likely to be anti-MC and anti-water fluoridation | Hoffman et al. [163] |