Involvement of the Health Department

The Langa Site Committee requires that all initiates who undergo the ritual provide the ingcibi with a medical certificate that affirms their health status. Provision of the certificate to the surgeon prior to the date of circumcision (the first day of initiation) is suggested, but not required by the Department of Health.  The Department of Health does ensure that the condition of the site is satisfactory by frequently visiting the site throughout the year.