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}}</ref> This has led American health associations to recommend doctors take measures to reduce the pain of circumcision in infants.
The [[http://www.cirp.org/library/statements/aap1999/|AAP Circumcision Policy Statement]] (1999) states quite clearly that ''"There is considerable evidence that newborns who are circumcised without analgesia experience pain and physiologic stress"''. Furthermore, the pain is quite severe, and requires injections for proper pain management. Sucrose and Acetaminophen ''"cannot be recommended as the sole method of analgesia"''. Topical cream is no longer thought sufficient as ''"the analgesic effect is limited during the phases associated with extensive tissue trauma such as...tightening of the clamp"''.<ref>{{REFjournal
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The [[AAFP]] (2002) states quite simply in their [[Position Statements on Infant Circumcisionhttp://www.cirp.org/library/statements/aafp2002/|position paper]], ''"Newborns experience pain during circumcision".''<ref>{{REFweb
|title=Circumcision: Position Paper on Neonatal Circumcision. Board Approved: August 2007 Reaffirmed
|website=Official American Academy of Family Physicians Website