Circumcision can prevent thousands of HIV infections by 2030 at a relatively low cost, but the uptake has been slower than expected. COMMENT Arriving at a clinic in Johannesburg in April, Thabo Khoza* (23) was greeted by Nurse Lettie Tshabalala*. He informed her that he had heard about the benefits of voluntary medical male circumcision on the radio and from someone at work. He told the nurse he wanted to get circumcised because it would help him be more hygienic.