Routine clinical care will be applied to the control group. No action will be taken.

Before circumcision, the child will be coloring mandala pictures of the pediatric clinic.

In the study, the experimental group was taken to their room on the day they came for circumcision and then had them paint mandalas. The coloring books chosen for mandala painting were determined to be appropriate for the age group of the children. The child was given a book and was given the freedom to paint the figures they wanted. Care was taken to ensure that the environment was quiet so that the child would be comfortable and calm. Care was taken to ensure that the crayons used in mandala painting did not contain carcinogenic substances and were anti-allergic.

This form prepared by researchers in line with the literature, contains 13 questions regarding the child's age, previous hospitalization and surgery, information about the current surgery and who gave the information, the education level of the mother and father, the profession of the mother and father, the place of residence and economic status.

This scale was developed by Donna Wong and Connie Moran Baker in 1981. The scale is suitable for children between the ages of three and eighteen. The scale includes facial expressions that the child can enjoy and enjoy. For this reason, it has been stated that it gives more accurate results. The scale has scores of "0", "2", "4", "6", "8", and "10". "0" indicates no pain and "10" indicates the highest pain. This scale does not have a Cronbach alpha score. It has been reported that reliability studies have not been conducted on such scaling.

The Children's Fear Scale (CFS) was used to assess procedural fear. The CFS is a reliable and valid tool for assessing procedural fear in school-aged children between the ages of 5 and 10 years.42 The CFS consists of five faces that are evenly distributed on a horizontal orientation. Each of them represents a different level of fear, the leftmost face marked as 0 and shows no fear, whereas the face on the far right marked as 4, shows the highest level of fear. The individuals reported their own fear levels by placing a mark on the horizontal axis. Before the procedure, the participating children were informed about the way of use of the scale. After the children stated that they understood how the scale can be used, they were asked to say how afraid they were. Children were asked a question as Can you look at these faces and choose the one which shows how afraid you are of having a circumcision? The mark was placed by each child was recorded.