A clergyman, Shabbir Mohammedbhai Vaziri​, was charged with being an accessory after the fact. All three have pleaded not guilty.

In a report, Dr Susan Marks of Westmead Hospital said after examining the girls she could not "clearly visualise" the tips of their clitoral glans - the part of the clitoris that lies beneath the hood of skin.

Dr Sonia Grover​, a paediatric gynaecologist, told the court on Thursday it was possible the tips of the girls' clitorises had been removed. But she said there were other more likely medical explanations for why they could not be seen and that removal did not align with the girls' complaints.

"If you were going to remove tissue, it would hurt and bleed," she said. "The information I was given was that the girls did not complain of pain or problems in the days after. So it means whatever was done was a minor procedure."

Dr Grover said it was possible the clitorises had been pricked or pierced and then healed without sign of injury. Crown prosecutor Nanette Williams asked if it was possible the clitoris of either girl had been cut. The doctor replied that any cut would have been "very superficial".