The good news is that most of the time one can avoid circumcision in children with tight foreskins. As I have explained here, almost all male newborns are born with tight foreskins. If the child does not have any problems, it is best to wait it out for natural separation to occur in almost 95% of all children by 5 years of age. They just require the usual care of the foreskin in uncircumcised boys.