Namugali, 12 years, Numugali John, 11 years, Wameyo Geofery, 15 years, and Wameyo Bosco, 14 years, visit homes in their community hoping to get gifts on the day they are to be circumcised in Namakandwa Bukeka, Uganda. For the Bagisu, the dominant tribe in Eastern Uganda, circumcision is required for a young man to progress to adulthood. The boys are circumcised without anesthesia, if they move or cry out during the cutting they are viewed as a coward and shame their parents and ancestors and will never be viewed as an adult. Recent studies indicate that male circumcision can reduce HIV transmission by as much as 60 percent.