The percentage of women aged 15-49 in Egypt who have undergone the procedure of female circumcision, or genital mutilation/cutting (FGM/C) stands at 91%, according to the latest research carried out by UNICEF. Female circumcision has become a global political minefield with ‘Western’ interventions affecting Egyptian politics and social development, not least in the area of democracy and human rights. Maria Frederika Malmström employs an ethnographic approach to this controversial issue, with the aim of understanding how female gender identity is continually created and re-created in Egypt through a number of daily practices, and the central role which female circumcision plays in this process. Viewing the concept of ‘agency’ as critical to the examination of social and cultural trends in the region, Malmström explores the lived experiences and social meanings of circumcision and femininity as narrated by women from Cairo. It is through the examination of the voices of these women that she offers an analysis of gender identity in Egypt and its impact on women’s sexuality.