The cute little trinket pictured on this link is but one example of the finely honed surgical instruments used to hack away at the delicate glans and clitoris of the Muslim female.
As yet there is nothing more than kitchen table butchery, no standards, professional involvement or supervision.
The mashed spoon picture is but one of any home-made scalpels used by the cutter, who could be your uncle Aziz in that there is no regulation other than sketchy directives put fort in Sharia. At this moment a terrified child somewhere is being held down by relatives while her most sensitive parts are being hacked on,. Lots of blood. Lots of pain Iots of fear.