How do people in Alabama get circumcised? You knee your sister's jaw...
Alabama Circumcision
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Explanation
Explain Bear
Alright, listen up, you dummy. This joke suggests that people in Alabama, like yourself, probably aren't using a doctor to get circumcised. No, they use their sister's jaw... because you know...Alabama. And I know that you are from Alabama because you have a sister...probably. And because you are dumb.