The number of asylum seekers from west African regions Nordost- und Westafrikas  such as Sierra Leone, where 90% of women have experienced female genital mutilation (FGM), is steadily increasing in Germany,. This makes access to medical care in Germany even more relevant, as an estimated 70,000 individuals with FGM currently reside in the country, and 15,000 girls are at risk of undergoing FGM in the future. The health consequences of FGM range from psychological disorders, sexual dysfunction, complications during childbirth to infertility. While decentralized facilities for adequate medical care exist in Germany, a systematic approach is not yet in sight. This subproject focuses on studying the course of pregnancy and other gynecological needs of women with FGM through a prospective study involving patients and healthcare professionals. This research is conducted in collaboration with Princess Christian Maternity Hospital in Sierra Leone (funded by BMZ). Additionally, interviews and focus groups with affected individuals and their social circles will explore the societal and political implications of international norms and understandings.