The eighth chapter of the 2018 Manual for Male Circumcision under Local Anaethesia reviews the surgical skills that trained providers must have to perform safe male circumcision. The chapter addresses preparing a sterile operating field and maintaining sterility; handling tissue safely; handling needles and other sharp instruments safely; placing surgical stitches (sutures); tying knots; stopping bleeding by vessel ligation, suture transfixion, or diathermy (haemostasis); and setting up and safely using diathermy.