The practice of female circumcision is a highly controversial and sensitive issue, with many alternative expressions being used in place of the term for cultural, political or ethical reasons. Some of the synonyms used include female genital mutilation (FGM), female genital cutting (FGC), female genital alteration (FGA), and genital excision. In some cultures where the practice is prevalent, it may be referred to simply as 'cutting' or 'civilising'. Critics of the term 'circumcision' argue that it is misleading and suggests a medical procedure when in fact it is a harmful traditional practice inflicted on girls and women. The varied use of synonyms for the term highlights the complexity of this issue and the need for sensitivity in language around it.