The primary objective of this research study is to assess the safety of ShangRing male circumcision procedures for men ages 15 to 49 during routine service delivery in Lilongwe, Malawi. The study will measure the incidence of moderate and severe adverse events associated with ShangRing procedures, including procedure and post-procedure events and all device-related incidents. 

The study will also: 

• Document the proportion of men ineligible for circumcision using the ShangRing
• Evaluate the acceptability of ShangRing procedures among clients and providers
• Determine the time required for complete healing after the ShangRing procedure

FHI 360 receives support from the Bill & Melinda Gates Foundation to lead studies evaluating two devices that could dramatically increase the efficiency and acceptability of voluntary medical male circumcision. One of these devices, the ShangRing, involves a minimally invasive technique that does not require suturing.