FGM (female genital mutilation) is a practice still in place in many countries across the world. This paper provides information on the subject. My work with Jamii Moja involves taking considerations for girls that undergo this cultural tradition. Many girls and families are beginning to feel differently about this tradition as a coming of age rite of passgae and are making slow movements toward alternatives. The medical and maternal health implications of FGM are massive and it puts many young mothers at high risk for potentially fatal or massively life altering complications.