Horrifying that this would happen in America:
The American Academy of Pediatrics recently put forward a proposal on female genital mutilation. They would like that American doctors be given permission to perform a ceremonial pinprick or “nick” on girls born into communities that practice female genital mutilation.
Female circumcision is a custom in many African and Asian countries whereby the genitals of a girl child are cut. ...
There is a more sinister meaning to the word “nick” if you consider the fact that in some cases it means to cut off the peak of the clitoris. Proponents compare “nicking” to the ritual of boy circumcision. But in the case of the boys, it is the foreskin that is all or partly removed and not a part of the penis head. In the case of the girls, the clitoris is actually mutilated.