This question keeps coming up. And while I have a page dedicated to it, and a lengthy blog post explaining it, and a clarification as to how I do it, it seems I haven't made clear in simple terms why I do it.
So here goes.
The Talmud states that a Mohel who does not do metzitzah is not fit to serve as a mohel.
Not wanting to fall out of favor with this declaration in the Talmud, I continue the tradition.
HOWEVER, the Talmud does not describe how metzitzah is to be done. Nor does it ever say that a bris without metzitzah is an unkosher bris. The bris is fine! It is the mohel who is suspect!
Since Metzitzah can be done in a number of ways, and since a long tradition has the power of the mouth performing the metzitzah, I choose to do it in a way that is as sterile and sanitary as applying a sterile gauze pad to the wound (haven't met a parent who objected to that!), which does no harm to a baby, which also satisfies my own obligations vis a vis the Talmud.
Were the metzitzah, as I perform it, in any way possibly dangerous to a baby, I wouldn't do it at all. I would find an alternative method. But the sterile tube stuffed with sterile gauze assures no transfer of fluid, assuring safety of baby, and allows me to be Talmudically fit to serve as mohel.
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