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While the discussion of the medical evidence is very good, the authors were unaware of the methodological and statistical errors in the three African RCTs,<ref name="boyle-hill2011" /> so they gave the RCTs excessive and undeserved weight. Although the authors recognized the loss of sensation caused by circumcision, they seemed to lack understanding of the full range of [[Sexual_effects_of_circumcision| sexual injury]] caused by circumcision. They apparently had no knowledge of the [[Psychological issues of male circumcision| psychological impact]] as that is not discussed at all.
The authors show no understanding that an infant is a person with [[human rights]], that non-therapeutic circumcision violate those rights, or that the practice may be unethical or unlawful under the ''right to security of the person'' granted by Article Seven of the [http://www.efc.ca/pages/law/charter/charter.text.html Canadian Charter or of Rights and Freedoms].
While the authors properly conclude that non-therapeutic circumcision of children is "not justifed", they fail to recognize the full extent of the inherent harm and injury.