Spain's health ministry approved a new government protocol, which will require parents to sign a declaration promising their daughters will not undergo female genital mutilation.

Female genital mutilation is illegal in Spain. But, is often carried out in secret, in basic conditions without anesthetic. Apart from the intense pain, immediate dangers include bleeding and infection. In the long term, risks include infertility and complications during childbirth, sometimes resulting in the death of the baby.
Nieves Crespo, who manages female genital mutilation prevention programs for the Union of Family Associations said, "There is no evidence that mutilations are carried out in Spain, but that parents take advantage of trips with their daughters to have it done."
The new protocol by the Spain government requires pediatricians to inform parents about the health consequences of the practice and ask them to sign a document reading- "I promise to look after the health of the minor(s) who I am responsible for and prevent genital mutilation and come to a medical review after returning from the trip." Once the family returns to Spain, the girls will undergo an examination again by a doctor, who can start legal action against the parents if it is found that the minors underwent female genital mutilation during their trip.
The measure is part of a comprehensive strategy for preventing, detecting and treating the practice among at-risk populations in Spain, and if any parent refuses to sign the documents, doctors will have to inform judicial authorities, who can put in place precautionary steps to prevent female genital mutilation from happening.
Source-Medindia