Baby is placed on a restraining board, and straps secure his hands and feet. The tight adhesions between the foreskin and the glans (or head) of the penis are separated with a medical instrument. The foreskin is held in place by metal clamps while a cut is made into the foreskin to about one-third of its length. A metal or plastic bell is placed over the head of the penis to protect the glans, and the foreskin is pulled up over the bell and the circumferentially cut.