ObjectiveThe objective of this article was to analyse women’s perceptions of ICMC and to propose a framework for ICMC decision-making that can inform ICMC policies.MethodUsing qualitative interviews, this study investigated twenty-five Black women’s perceptions of ICMC decisionmaking in South Africa. Black women who had opted not to circumcise their sons, were selected through purposive and snowball sampling. Underpinned by the Social Norms Theory, their responses were analysed through in-depth interviews and a framework analysis. We conducted the study in the townships of Diepsloot and Diepkloof, Gauteng, South Africa.ResultsThree major themes emerged: medical mistrust, inaccurate knowledge leading to myths and misconceptions, and cultural practices related to traditional male circumcision. Building Black women’s trust in the public health system is important for ICMC decision-making.Conclusions for PracticePolicies should address misinformation through platforms that Black women share. There should be an acknowledgement of the role that cultural differences play in the decision-making process. This study developed an ICMC perception framework to inform policy.