This topic is one of my most frustrating topics. In our hospital as well as area, we have at least 95% circ rate. The vast majority of pedi and FP docs who perform circs do not use any kind of anesthesia or even post-operative pain control. Who else do we perform minor surgery on and not bother with pain control?!? I see breastfeeding babies react in one of two ways. They either cry unconsolably or they shut down and go to sleep...both ways to deal with the pain. I often feel like the sole advocate for these little guys when I fuss about pain control for them. Sure doesn't seem to do any good. Has anyone lobbied for better circ situations in their hospital?? BIRTH March 1995 has an excellent commentary by several physicians on circ's not being performed without anesthesia. I posted it in several visible locations in the newborn nursery for staff to see--it disappeared in less than 24 hours! So I continue to march on for the rights of babies..... Kathy Parkes, RN, IBCLC