An eminent neurosurgeon sexually assaulted 10 female patients and tried to cover his tracks by failing to complete medical records, a jury has heard.
Nafees Hamid is alleged to have betrayed his profession by performing "entirely inappropriate" intimate examinations, including one of a patient waiting to be taken to an operating theatre.
Hamid, of Russell Road, Moseley, Birmingham, denies committing 14 sexual offences while employed at the city's Queen Elizabeth and Priory hospitals.
Opening the case against the consultant at Birmingham Crown Court, prosecutor Jonas Hankin QC alleged that Hamid targeted 10 women ranging in age from their early 20s to their mid-60s between 2009 and 2013.
Addressing jurors at the start of an expected five-week trial, Mr Hankin said: "The prosecution case is that Mr Hamid performed inappropriate and medically unjustifiable intimate examinations on each of those 10 women.
"He ignored General Medical Council guidelines about intimate examinations and failed to record the examination findings in the case records so as to cover his tracks."
Alleging that the complainants' accounts against Hamid followed a pattern, Mr Hankin added: "His purpose in touching the private parts of these women was not medical but sexual.
"In failing to observe the first rule of medicine - to do no harm - he betrayed the trust of his patients and of his profession."
Hamid, sitting in the dock wearing a dark suit and tie, was also accused by Mr Hankin of failing to use a chaperone during his contact with the alleged victims.
Describing how a police inquiry into the 50-year-old was sparked by a complaint made about an allegedly unnecessary examination, Mr Hankin added: "He made inappropriate sexual remarks during the course of the examinations.
"He avoided using a chaperone and in contravention of the most basic standards, he physically removed patients' clothing himself."
The jury of seven women and five men was told Hamid will argue that his examinations of some of the women were medically justified.
In other cases, the court heard, the surgeon will claim the incidents complained of never happened.
The Crown alleges that at least one of the complainants failed to contact police immediately because of Hamid's "eminent" status as a highly-regarded consultant.
Hamid, who moved to the UK from Pakistan in 2000 to continue his medical training, was arrested after a complaint made by a woman being treated for back pain.
The alleged victim told police she was left "frozen to the spot" after being sexually assaulted by Hamid, who allegedly told her she was a "sweet girl" before she left hospital.
Another patient, aged in her 40s, claims Hamid informed her she was "attractive" and indecently touched her private parts while he was not wearing a surgical glove.
Jurors were told that an expert witness due to called by the prosecution believed there was "no need and no urgency" for Hamid to have examined the woman intimately.
The neurosurgeon, whose job was to treat patients with disorders of the brain, skull, spine and nervous system, could simply have referred the woman to the gynaecological department, the court heard.