The original instructions for using the Goldstein Manufacturing Company circumcision clamp are firm that the infant's prepuce must be crushed for at least 5 minutes straight, regardless of the pain involved, in order to force hemostasis and force the procedure's "safety".

https://www.cirp.org/library/procedure/gomco/

Recently researchers and surgeons have been playing around with the crushing time, and implicitly the pain involved, while some surgeons decided to not use the Gomco clamp's hemostasis function at all.

Article saying there is little difference between 5 minutes or 2 minutes of violent crushing: https://pubmed.ncbi.nlm.nih.gov/34433622/

Article saying no crushing time is necessary and hemostasis can be easily handled in other ways: https://publications.aap.org/pediatrics/article-abstract/141/1_MeetingAbstract/439/1949/The-Length-of-Gomco-Clamp-Timing-and-Its-Effect-on

Video showing a Gomco clamp being used without the hemostasis function is available on the Blood Stained Men's website on the "About Circumcision" page.

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So the most traumatic and painful element of a Gomco clamp circumcision is actually variable and even optional, and always has been...

I mean, doesn't this SEVERELY blur the line between circumcision and torture?

To this day circumcisers do basically whatever they want, and decide on a whim how much crushing force to apply to a child's genitals for how long, and with how much if any pain relief.

The process of circumcision has always been a creative experiment, an artistry of pain and disfiguration. Circumcisers will pick a tool, try different ways of using it, select pain relief at their own discretion, an innocent child's body is their canvas.

To have an idea of what this crushing might feel like when done to you, there is a testimony on r/CircumcisionGrief where an older boy insists that he received a Gomco clamp circumcision in the Midwest in the early 1990s, with little to no pain relief, the same protocol that newborns often received.

He said the pain of the very long crushing sequence was the worst of them all, and so bad that he couldn't even scream and could only cry, and that the medical stuff looked at him in disgust and left the room, since they had nothing to do during the crushing phase but wait, and preferred to wait outside to avoid seeing the pain and distress they were causing.

https://www.reddit.com/r/CircumcisionGrief/comments/hwar1m/my_surgery_my_grief_my_anger_and_my_confusion/

I looked into it and the story is plausible because Gomco clamps with different sized bells and pieces are known to have been made, and they were made for only one reason - to circumcise older boys who escaped circumcision in infancy. The 1990s is also the time when protocols were first being updated to include pain relief for infants.
Knowing all that it's plausible to me that an older boy was put through the exact same protocol as infant boys and lived to remember it, and the story is probably true.

https://preview.redd.it/hh9mtpwkjv9h1.png?width=1067&format=png&auto=webp&s=d99eceb3f077b49600613f98be4394d6786df162

Yes, this was absolutely was a medical emergency that justified humiliating this boy into attempting to demonstrate full retraction in front of a committee formed by his parents and medical staff, multiple times, until they finally got their holy grail and relented.

I don't know why everyone keeps acting like this never happens. I was going through it during my childhood in Romania, and it happened to this young man from Germany as well.

Obviously the medical system is tolerant of abuses like this.

The only thing that actually is rare: successful resistance in the face of this much malevolent force.
Ironically it's only those that have already been traumatized that are able to resist like this, they know what the stakes are.

This case provides some insight into what happens when you resist "medical" circumcision as a boy in Europe.
Coercion will be used in conjunction with the medical system, either full physicals will be scheduled year after year, or a circumcision appointment will be made and then only deferred, not cancelled if you show intense non-cooperation, until they can finally break your will.

No medical problem has to be present like a UTI or infection for this process to begin, and once it's started no input from you has any effect except for intense non-cooperation and pleading. You will have to beg your parents and the medical staff not to do this to you.