Ouch! More than 300 pre-teen boys go under the knife on school tables in a mass circumcision in the Philippines
Marikana City, in the eastern suburbs of Manila, has cornered the market in mass circumcisions
In 2011 the city attempted to get in the Guinness Book of Records when 1,500 boys were circumcised
Guinness Records rejected the bid, saying they do not accept mass operations on 'hygiene' grounds
In the Philippines circumcision is a tradition for boys who are just about to enter their teenage years. Uncircumcised boys often end up being teased by their peers but as these images show, the price of social acceptance is a painful one.
Circumcision is traditionally associated with Muslim and Jewish culture but the ritual of 'tuli' is common in the Philippines, where the majority of people are Roman Catholic.
This week 300 boys began the traditional journey into adulthood in a single mass circumcision exercise at a school in Marikina City, east of the Filipino capital Manila.
Afterwards they are encouraged to wear loose skirt-like clothing and in the local Tagalog language the swelling which follows the operation is known as pangangamatis, which translates as 'becoming like a tomato'.
The World Health Organization reports estimates 30 to 33 per cent of men aged 15 or over are circumcised but in the Philippines the figure is 93 per cent.
Five years ago 1,500 boys were circumcised on the same day in Marikina City but the Guinness Book of Records rejected an application 'due to hygiene considerations and risks'.
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