The Seattle area for the past several years has had an increasing population from Somalia and surrounding areas. On rare occasions, my healthcare providers have been approached to do the FGM procedure, which has religious and cultural significance for much of this population. We have consistently declined to do this since it conflicts with our own ethical precepts on the procedure. In some cases, children have been presented to us for post-procedure care, when the procedure was usually done by a non-medical person in the Somali culture. We are obligated to report these to our state Child Protective Services insofar they consider this abuse. I don't know what happens to those cases after we report. I send off the medical records upon request, but we have never been asked for a followup conference, deposition or testimony.
I think the largest Somali population is in Minneapolis, and I wonder how the medical community there deals with it.