The foundation estimates that 10,000 to 25,000 girls in Ohio are at risk of being mutilated. The Centers for Disease Control and Prevention estimate that half a million females are at risk nationwide.

The prohibition doesn’t apply to procedures performed for medical reasons by licensed surgeons.

FGM can lead to severe pain, bleeding, shock, cysts and scarring, pain during sex and possible complications during childbirth.

FGM is accepted in some cultures and it is performed without anesthetic by a traditional practitioner with crude instruments, according to a guide to Somali culture published by the Ohio Department of Homeland Security. The procedure is performed on infants to adolescents and occasionally grown women. The most common FGM is excision of the clitoris and labia minoria.