Risk Benefit Analysis

This Comment, written by two Black emergency room physicians, supports SDGs 3 and 10 by highlighting low vaccination rates for COVID-19 among Black Americans. The authors explain the historical context that has led to mistrust of the health-care system among many in the Black community and present COVID-19 vaccination as an opportunity to begin to make amends.
Introduction: Clitoral reconstruction (CR) is a controversial surgical procedure performed for women who have undergone medically unnecessary, often ritualistic genital cutting involving the clitoris. Such cutting is known by several terms; we will use female genital mutilation/cutting (FGM/C). Treatments offered to women affected by complications of FGM/C include defibulation (releasing the scar of infibulation to allow penetrative intercourse, urinary flow, physiological delivery, and menstruation) and CR to decrease pain, improve sexual response, and create a pre-FGM/C genital appearance.