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“I’m pleased with the decision, but I’m not going to comment,” Dr. Aaron Jesin, a family practitioner who has performed more than 10,000 circumcisions, told the National Post by phone on Wednesday.

Metzitzah b’peh has become the subject of heightened controversy in recent years after it was linked to numerous cases of herpes infection in New York City.

According to New York City health officials, the ritual practice infected 11 boys with neonatal herpes between 2004 and 2011, with fatal implications for two of them.

As the operator of the Jesin Circumcision Clinic, Dr. Jesis performs ritual circumcisions upon request, but told investigators he has a “strong personal stance” against performing metzitzah b’peh with direct oral contact, and said he prevents the risk of infection by using a sterilized plastic tube to suction the blood.

Reviewers later concluded that this provided “adequate protection” against infection.

In a 2012 edition of the Canadian Jewish News, Dr. Jesin was quoted in an article about oral suction.

“If you believe metzitzah b’peh is … [Jewish law]” he told a reporter, “then you will feel very strongly that it’s the only way.”

‘It was obvious that he and the Applicant were using the complaint procedure to launch a broadsided attack on the practice of circumcision, whether ritual or non-ritual’

Within four months, the article caught the eye of a complainant identified only as “D.S.” In a letter to the College of Physicians and Surgeons of Ontario, he alleged that Dr. Jesin was no longer fit to practise medicine “due to personal bias surrounding his religious beliefs.”