Changes

Firstly, a Jewish ritual circumcision requires the recitation of appropriate liturgy. According to Jewish religious law, the circumcision surgery by itself is of no validity. A circumcision performed by a doctor at a hospital is not considered valid according to Jewish law; a rabbi would have to inspect the circumcision to see that it is acceptable, and then would have to draw a drop of blood in order for the circumcision to be considered valid.

A hospital circumcision is more intensive, employing the use of different clamps and devices, such as the [[Gomco]] clamp or [[Plastibell]]. In the most common procedure, the foreskin is first forcibly separated from the glans with a blunt object; it is then cut lengthwise and pulled through the clamp that will crush the foreskin before it is sliced off. When doctors use a [[Plastibell]] device, the foreskin is cut lengthwise in over to fit it over the device; the doctor then uses a string to tie off the foreskin, crushing it against the device. As in peri'ah, all flesh from the base of the glans up to the tip is removed.