There is no equivalent of a Jewish mohel in Islam. Circumcisions are usually carried out in health facilities or hospitals, and performed by trained medical practitioners. The circumciser can be either male or female, and is not required to be a Muslim. The position of the scar is usually neither fully "low" nor fully "high", and the skin left is rather loose. However, due to a relatively secular approach to circumcision in the Muslim world, the "styles" of the Islamic circumcision vary on every individual, and change in the light on new medical knowledge.