Newborn circumcision might seem like a standardized procedure—but the reality is, how it's done can vary widely depending on where you live. Across the United States, different regions favor different devices, providers, and protocols. For families in Rhode Island considering circumcision, understanding these variations can help you make informed choices about your baby’s care.

Different Devices, Different Approaches

1. Gomco Clamp

Most common in the Northeast, including Rhode Island and surrounding states.
A metal clamp compresses the foreskin to minimize bleeding before the foreskin is removed.
Healing is typically complete in 7–10 days.
Preferred by many hospitals for its visibility during the procedure and low rates of retained tissue.

2. Plastibell Device

More commonly used in Southern and Western states, as well as by some pediatricians and family practice physicians in outpatient settings.
A small plastic ring is placed under the foreskin and tied off with a string; the foreskin dies and falls off with the ring in 5–10 days.
Requires careful monitoring at home to make sure the ring falls off in a timely manner and doesn't get embedded.
Less immediate bleeding but more home-based responsibility for follow-up.

3. Mogen Clamp

Less widely used in hospital settings due to higher risk of complications if not used carefully.
Quickest device to use—takes only seconds—but provides less visibility of the glans during the procedure.
Still preferred by some providers, especially in ritual circumcisions performed by mohels or in high-volume clinics.

Why the Device Used Depends on Where You Live

Circumcision technique often reflects a mix of:

Medical training norms – OBs and pediatricians in the Northeast are often trained using the Gomco clamp, while physicians in other areas might learn with Plastibell.
Cultural and religious practices – Mohels performing ritual circumcision often use the Mogen clamp. In states with larger Orthodox Jewish or Muslim populations, outpatient and religious settings may influence the device and technique.
Hospital policy – Some institutions have protocols that favor one device over others due to cost, complication rate, or staff familiarity.

What Rhode Island Families Should Know

Most hospitals in Rhode Island use either the Gomco or Mogen clamp for circumcision. The Plastibell device is rarely used in New England.

The procedure is typically performed in the hospital before discharge if the baby is healthy and stable—often within 24 hours of birth.

Most procedures are performed by OB-GYNs, depending on the setting.

Each provider is different—so it’s important that parents ask their provider which device they use and why. Parents are also encouraged to ask their OB-GYN what their revision rate is. A revision rate refers to how often a circumcision needs to be corrected or redone due to complications, poor cosmetic outcome, or incomplete removal of the foreskin.

It is rare for OB-GYNs to perform follow-up care or manage complications. This responsibility typically falls on the outpatient pediatrician or family physician.

Another Option: SafeCirc

At SafeCirc, we understand that circumcision is a personal decision—and families deserve time, transparency, and support. That’s why we offer:

Flexible timing: Unlike hospital-based procedures that are often rushed within 24 hours of birth, SafeCirc allows circumcision to be scheduled anytime within the first 28 days of life. This supports bonding, lactation, and informed decision-making.
Prenatal visits encouraged: We invite families to visit our Center of Excellence before delivery to:
- Meet the provider who will perform the procedure
- Ask any questions you may have about the process, risks, and healing
Transparent technique and aftercare: We take time to explain why we use AccuCirc, how it compares to other methods like Gomco or Plastibell, and what to expect during healing.
Comprehensive follow-up care: Every family receives clear aftercare instructions, and at SafeCirc every one of our patients is seen at two weeks to ensure adequate wound healing has occurred. We also offer 24/7 phone support in the event there are questions or concerns—day or night.

Circumcision is not a one-size-fits-all procedure. From device selection to timing, aftercare, and who performs it, there’s a lot that varies by region. In Rhode Island, families benefit from the option of outpatient clinics like SafeCirc that use evidence-based methods, offer 24/7 post-procedure support, and respect families’ diverse reasons for choosing circumcision—or not.

Have more questions about circumcision techniques or options in Rhode Island? SafeCirc is here to help you make the best choice for your family—with care that’s safe, respectful, and centered on your child.

Why Circumcision Care Varies by State — And What Rhode Island Families Should Know