Some invasive procedures that modify human genitals are performed with the informed consent of the patient, using anesthesia. The phrase "Genital mutilation" is sometimes used to describe procedures that individuals are forced to undergo without their informed consent, or without anesthesia or sterilised surgical tools. The phrase has been applied to involuntary castration, male circumcision, and female genital mutilation. Intersex campaigners say that childhood modification of genitals of individuals with intersex conditions without their informed consent is a form of mutilation.