I once talked to a Somali woman about female circumcision. (99.9% of Somali girls have the procedure performed on them)
She said her father didn't want her and her sister to have the surgery. So her mother waited until he was at work one day, and took the daughter's to the doctor and had it done.
Like I said, it's the women who insist their daughters have the surgery. In fact, mother's who live in western countries, will schedule a vacation with their children and go back to their country of origin to visit relatives. And while there have the surgery performed.
Happens all of the time. ......