Sierra Leone’s First Lady, Fatima Maada Bio, has sparked controversy by stating she requires “reliable data” before condemning female genital mutilation (FGM). This response follows growing criticism regarding her perceived support for the practice. Health professionals, survivors, and politicians have expressed concerns in an open letter, highlighting the harmful effects of FGM. Bio denies actively supporting FGM but maintains she needs conclusive evidence of harm before issuing a condemnation. Her stance has fueled debate about the burden of proof regarding harmful traditional practices. Critics argue that ample evidence already exists demonstrating the severe physical and psychological consequences of FGM. The First Lady’s position underscores the ongoing challenges in eradicating FGM in Sierra Leone and globally.