In the rural areas, the quack doctor pulls the foreskin, and places a block of wood under the foreskin. The kid is given a leaf to bite on as the quack doctor whacks the foreskin off, often with a sharpened bamboo or coconut knife, or now, mostly machete knife.
Yes, in the Philippines it is expected that all males are circumcised before puberty. If not, a boy will be teased as "supot". It is because he is not seen as "man enough" to face the pain.
However, circumcision is largely confined among Filipinos, as boys of mixed Filipino and White or Chinese ancestry prefer not to be circumcised.
The ritual originated from the Arabs, who brought it to the Malays, who then brought it to the Filipinos, whom they converted into Islam. (There were Muslim sultanates throughout the Philippines before the Spaniards came).
Most Filipinos still think that circumcision boosts height and manliness, and that being uncircumcised leads to a short stature. However, Medical research proves otherwise: being circumcised does result to a significant lessening in sexual sensation and that if uncut boys are taught early on, they never develop the bad odors or white deposits that Filipinos frequently talk of.