My comment about negative connotations was referring to oral sex, where it was claimed the local culture never viewed performing oral sex on women as emasculating, but something men were expect to do. Genital modification itself has to some extent negative connotations everywhere these days, if only because of the influence of Western media, but that has also given rise to a reactionary dynamic that tries to defend these practices using the language of contemporary Western morality, e.g. sex positivity.