This manual is designed for teaching traditional surgeons/circumcisers (ingcibis) and attendants (amakhankatha) about safe male circumcision (MC) practices and how to talk to initiates about social and sexual responsibility during the amaXhosa ceremonial rites of initiation (ulwaluko) into manhood. It is used as part of a training program in the Eastern Cape of South Africa that provides extended post-MC education to young initiates during ulwaluko. In the program, ingcibis and amakhakatha learn key messages of social and sexual responsibility that are intended to be passed on to young initiates as they heal from their circumcision and go through their traditional initiation rites.