The Female Genital Mutilation practice has been undertaken for millenniums in parts of Africa and other parts of the world, as a rite of passage. Female Genital Mutilation is largely practiced in Gucha Sub-County, and it forms an important part of a Kisii girl's life. The purpose of this book was to establish psychosocial factors influencing the persistence of Female Genital Mutilation among women of Gucha Sub-County, Kisii County. The study was premised on the social exchange theory and adopted a descriptive research design. The study used clustering and snowball sampling techniques to arrive at a sample size of 384 respondents. The research adopted both qualitative and quantitative approaches to data collection which included questionnaires, key informant interview and the focus group discussions. The persistence of Female Genital Mutilation was found to be socially acceptable among members of the community, commanding respect as well as bringing honour to families thus the persistence in the area.