The nation's most influential pediatricians group says the benefits of circumcision for infant boys outweigh the small risks.
Recent research has bolstered evidence that circumcision reduces chances of infection with HIV and other sexually spread diseases, urinary tract infections and penis cancer.
In its latest policy statement on circumcision, the American Academy of Pediatrics moves closer to an endorsement, but says the decision should be up to parents and that there's no one-size-fits-all-answer.
The group also says pain relief is essential, usually an injection to numb the area and that insurance should pay for the procedure.
The academy's old stance said potential medical benefits were not sufficient to warrant recommending routinely circumcising newborn boys.
Insurance coverage varies and several states have stopped Medicaid funding for circumcisions.
The new policy is published online in Pediatrics.