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}}</ref> Before circumcision surgery can commence, the surgeon must first forcibly separate these two highly innervated body parts in an exquisitely painful procedure by the passage of a blunt probe between the two parts to rip and tear the synechia apart.<ref>{{REFjournal |last=Oliver |first=JE |author-link= |etal=no |title=Circumcision and cruelty to children |trans-title= |language= |journal=Br Med J |location= |date=1979 |volume=2 |issue=6195 |pages=933 |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1596753/pdf/brmedj00095-0057c.pdf |archived= |quote=Without anaesthetic the operation in babies causes pain, intense and prolonged crying, air swallowing, vomiting sometimes followed by apnoea, and sometimes permanent local complications. |pubmedID= 519233 |pubmedCID=1596753 |DOI=10.1136/bmj.2.6195.933-b |accessdate=2020-11-08}}</ref>