The physician who has constructed the Ulwaluko web page is urging those who would circumcise youths to attend to modern medical practises which would reduce infections and gangrene due to restriction of blood supply.
In January 2014, Desmond Tutu urged traditional leadership and government to intervene, and "to draw on the skills of qualified medical practitioners to enhance our traditional circumcision practices." He furthermore emphasized the cultural importance of the ritual as educational institution, preparing initiates "to contribute to building a better society for all."
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