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|archived=
|quote=
|pubmedID=17599221
|pubmedCID=1173018
|DOI=
|doi=
|accessdate=2024-07-29
}}</ref> The act requires such precautions as:
<blockquote>
Traditional practitioners have to apply for written permission to perform circumcisions, to hold circumcision schools and to treat initiates. Permission is granted by the medical officer designated for the area. One of the preconditions is the guarantee of sterile instruments. Prospective initiates have to undergo a pre-circumcision medical examination by a medical doctor to establish their fitness for the procedure. In the case of initiates below the age of 21 years the written consent of a parent or guardian is required.<ref>{{REFjournal
|last=Meissner,
|first=
|init=O
|author-link=
|last2=Buso
|first2=
|init2=DL
|author2-link=
|etal=no
|title=Traditional male circumcision in the Eastern Cape – scourge or blessing?
|trans-title=
|language=
|journal=SAMJ
|location=
|date=2007-05
|volume=97
|issue=5
|pages=371-73
|url=https://journals.co.za/doi/pdf/10.10520/EJC68998
|archived=
|quote=
|pubmedID=17599221
|pubmedCID=
|accessdate=2024-7-31
}}</ref>
</blockquote>
The [https://ecprov.gov.za/ Eastern Cape Province] is the home of the Xhosa people whose traditions require circumcision as a rite of passage to adulthood.