 The patient was a 21-year-old man who fell victim of complications due to initiation rituals at illegitimate initiation schools.On 21 April 2017 a second penis transplant was performed by the same team of doctors led by Dr Andre van der Merwe on a 40-year-old man who lost his penis 17 years prior to the procedure.Doctors have said that due to the circumstances surrounding illegal circumcision schools, South Africa has become one of the countries with the greatest need for penis transplantation.