"I want to make it very clear that the American Academy of Pediatrics opposes any form of female genital cutting, and that would include the ritual nick," Dr. Judith Palfrey, president of the AAP, told ABC News.
Still, Diekema said he stands behind the idea of ritual nicking as an alternative to vacation cutting.
Yet so many U.S. doctors still face a terrible set of options. And while millions of young girls wait for some answer on their fate, some who speak publically about it say they are not giving up the fight.
"We have to change a whole culture," said Mary. "Maybe we can't change their generation but we can change our own generation. We know it's wrong. There's nothing right about this."