Objective: To compare the prevalence of female genital cutting (FGC) before and 5 years after the law completely banned the practice in Egypt, and evaluate the attitude of educated mothers of girls toward FGC in Upper Egypt. Methods: All women attending 2 outpatient clinics in Upper Egypt were approached from January 1 through November 30,2011. A trained nurse interviewed those who had daughters, and factors influencing their attitude toward FGC were evaluated. The participants in a previous study done in the same locality acted a historical comparison group. Results: The percentage of women who had FGC performed on at least 1 daughter was significantly lower in 2011 than in 2006 (71.6* vs 77.8%, P=0.04). The main reason for performing FGC given by 42.6* of the participants, was family pressure. The percentage of FGC procedures practiced by physicians was significantly lower in 2011 than it was in 2006 (34.6* vs 393%, P=0.04). Conclusion: The decrease in prevalence of FGC after its complete ban was small after 5 years, with little change in attitude among educated families in Upper Egypt. In addition to the current law, a change in attitude will be needed to wipe out this custom.

©2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.