It's always been done by old women at a coffee clache type of affair.
Mom and girl arrive and two or three other older women chat and make like it's just a day with the girls (to ease the victim's fears), and finally get the victim in a position where she is held down and mutilated with mom's blessing.
THAT'S what they do.
Cruise youtube, you'll find explicit and graphic videos.
I fell for the same misdirection the first time it came around FR ... I'm too old for a "post" button, I think.
The doctor is a female