TO GO WITH AFP STORY BY Sibongile Khumal

TO GO WITH AFP STORY BY Sibongile Khumalo A picture taken on November 20, 2009 of a young boy from the Xhosa tribe attending his traditional initiation school in Libode in the Eastern Cape province. In rural South Africa, the ethnic Xhosa boys graduate to manhood through a sacrosanct ritual of circumcision. But every year, the custom among the country's second-largest ethnic group sees young initiates die of complications from botched circumcisions by ill-trained traditional surgeons. AFP PHOTO / ALEXANDER JOE (Photo credit should read ALEXANDER JOE/AFP via Getty Images)