When circumcision can mean death in South Africa
19 July 2013 Last updated at 14:23 BST
Nearly 80 boys and young men have died this year in South Africa from injuries sustained during ritual circumcision.
This has led to renewed calls for more effective regulation of the so-called "traditional surgeons" who carry out the procedure.
The lure of financial gain has resulted in an increase in illegal initiation schools in rural areas.
BBC Africa's Nomsa Maseko reports from the Eastern Cape.
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