Its done by a doctor now adays in thephil..only in provinces thats not advance yet doing the old way..but now loads done it thru doctors.Even loads of doctors do it free or just a little payment for anesthesia.Some parents hv their child after birth,But this case some hv it done again coz it goes usually back in normal form.The skin closes back and dont hv a good form.And one thing if hvnt done..It will create odor if not properly cleaned.And thats very true,Its because of the dried sperm stocked up inside the skin.