This study addresses cross-border female genital mutilation (FGM) practice, cross-border FGM takes place when communities cross national borders to perform FGM, circumvent laws and avoid prosecution. Using data from a recent cross-border study, this paper aims to identify factors associated with the perception of the ease of cross-border FGM and the intention to perform FGM on daughters and female relatives in the border communities of Ethiopia, Kenya, Somalia and Uganda.