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Before the 19th century, circumcision existed only as a ritual for some cultures and religions. However, the belief that Jews were immune to masturbation because of their circumcision, led to the inclusion of circumcision among the plethora of genital surgeries.
The late 19th century and early 20th century saw the first opponents of medical circumcision, such as Herbert Snow, Elizabeth Cromwell, first female MD<ref>{{REFBookREFbook
| last=Blackwell
| first=Elizabeth
| isbn=
}}</ref>
and Ap Morgan Vance MD<ref>{{REFBookREFbook
| last=Vance
| first=Ap Morgan