Nkqinqa is feeling particularly insecure. It is customary for the patriarch in a family to send a boy off, but Nkqinqa’s father has not been a part of his life for several years, and three of his uncles are dead. So a neighbor named Patrick Dakwa has agreed to take responsibility for him. Dakwa is a community volunteer who spends a lot of time trying to make circumcisions safer, running seminars near the Eastern Cape town of Flagstaff, teaching traditional surgeons how to safely dress wounds. However, since previous initiates are sworn to secrecy about the ritual’s details, as he lies in a hut with the other boys, rabid speculation is Nkqinqa’s only close companion. The next day, the 13 boys in his cohort consecutively go to see a surgeon. Using a blade about the size of a steak knife, he slices off each of their foreskins. Dakwa and his fellow health volunteers recommend in their seminars that separate, disposable razors be used for the circumcisions so as to eliminate the risk of HIV transmission. But this is an illegal initiation school that shows little regard for regulations. All boys go under the same knife here. The surgeon wraps Nkqinqa’s penis with a traditional dressing comprised of medicinal leaves. The pain is unremitting and debilitating, but Nkqinqa tries not to let his discomfort show. He doesn’t want to appear weak in front of the other emerging men.