 The study aimed to identify factors that sustain FGM in Bacou municipality and Pusiga district despite its illegality, using a descriptive qualitative design based on grounded theory. Historical traditions and religious rights preserve FGM, while older women and peers provide support for the practice through pressure exerted on younger women slash girls. The easy movement of women across borders perpetuates the practice, as does the belief that FGM will preserve virginity and reduce promiscuity. Male dominance and lack of female autonomy also contribute to its continuation. To eradicate the practice, interventions targeting border towns, religious leaders and their followers, older men and women, and younger men and women are needed. This article was authored by Evelyn Sacchia, Cornelius de Perre, Raymond Acoir-Aborrigo, and others.