Dealing with your middle paragraph. The question has only come up surely because those who practice FGM as a part of their culture now live among us, if that were not so I doubt most of us would have any notion of its existence. In this understanding yes he says, and we can research this ourselves quite easily, there is a hypocrisy within both society and its politicos and within the medical profession, which pertains to the USofAmore than anywhere else because of the fashion among young girls of having their 'pussy enhanced' with 'plastic surgery' and in having piercings in odd places - that the equivalents of, foreign to us, cultural FGM and western cosmetic surgery are in some cases no different and in others very close, but in both those cases done for enhancement = to make the girl ( girls as young as 13 have been known to have had pussy cosmetic surgery, for enhancement only, in the US ) more beautiful and or feminine in their eyes - That the laws against FGM apply, in western countries, only to those for whom it is a part of their culture and not to western women and girls - for eg an African woman who asks a Dr to tighten her vagina after giving birth to bring her back into that which she was before will be refused on the grounds that it is cultural FGM and yet a western woman will not be refused exactly the same procedure for exactly the same reasons - another eg -one form of FGM ritual is simply piercing the clitorus to draw blood, that is illegal and yet how many western women have piercings on their clit' now? So in that he also questions if we are talking about enhancement rather than mutilation and why is it mutilation in one culture and enhancement in another? The main objection against FGM in the western mind set, and the one most commonly heard, is that it is forced on women by men to keep them down and destroy their sexual pleasure - this he shows to be untrue - (he has left references)