Public health officials are currently supporting adult male circumcision as a public health policy to minimize the transmission of HIV during intercourse. Estimates indicate that more than 3 million lives could be saved in sub-Saharan Africa alone if the procedure becomes widely used. Complications including infection and accidental cutting/amputation of the glans during traditional circumcision ceremonies can lead to permanent injury or death. A low cost, adjustable (one-size-fits-most), culturally appropriate adult male circumcision tool was designed for use in traditional circumcision ceremonies. A surgical procedure for using the device has also been defined, which can be performed in either a clinical or nonclinical setting.