Fred goes to a doctor and says: "Doctor, I want to be castrated."
The doctor says: "Look, I don't know what kind of cult you're into or what your motives are, but I'm not going to do that sort of operation!"
Fred says: "Doctor, I just want to be castrated and I'm a little embarrassed talking about it, but I have $5,000 cash right here. Will you do it?"
The doctor says: "Well, okay. I guess I could make this one exception. I don't understand it, but okay."
So he puts Fred to sleep, does the operation and is waiting at the bedside when Fred wakes up. "Well, Doc, how did it go?" Fred asks.
"It went fine, just fine. It's really not too difficult an operation. As a matter of fact, $5,000 is a lot of money to pay for such as simple operation and I felt a but guilty taking that much. So while I was operating, I also noticed that you had never been circumcised, so I went ahead and did that too. I think that it's really better for a man to be circumcised, and I hope that you don't mind......"
"CIRCUMCISED!" yells Fred. "That's the word!"
(terrible joke really, hope it doesn't put you off.....but it does point out the risks of poor communication!)