An obstetrician-gynecologist in Virginia allegedly performed unnecessary surgeries on unsuspecting patients – including tying a woman’s Fallopian tubes without her consent, according to a report.

Dr. Javaid Perwaiz, 69, of Chesapeake, has been arrested on health care fraud and making false statements relating to health care matters, federal authorities said in court documents.

Perwaiz, who is affiliated with Bon Secours Maryview Medical Center and Chesapeake Regional Medical Center, made an initial appearance in US District Court in Norfolk while still wearing his green scrubs.

In one case, a woman wanted to have a child but had trouble conceiving for years, according to The Virginian-Pilot, which cited court papers filed in the Eastern District of Virginia.

When she sought help from a fertility specialist, she learned that her Fallopian tubes had been burned down to nubs, which made it impossible for her to conceive naturally.

Perwaiz, who studied medicine in his native Pakistan, has had a medical license since at least 1980, according to state records cited by the newspaper.

The FBI started investigating him in September 2018, after receiving a tip from a hospital worker who suspected he was putting unsuspecting patients under the knife.

The employee told the feds that the doctor’s patients advised hospital staff they were there for their “annual clean outs,” according to an affidavit signed by FBI Special Agent Desiree Maxwell.

The affidavit cited a variety of procedures, including hysterectomies, cystectomies, myomectomies, tubal ligation and dilation & curettage.

During a hysterectomy, the uterus is removed. A cystectomy is the removal of a cyst and a myomectomy is the removal of a uterine fibroid.

Tubal ligation is a kind of permanent birth control and a D&C is a procedure in which a thin instrument is inserted into the uterus to remove tissue.

In 2012, a patient who had undergone a mastectomy for breast cancer sought treatment from Perwaiz after an abnormal pap smear. The woman was led to believe pre-cancerous cells were detected.

Perwaiz advised her to undergo a hysterectomy, but she objected and believed they agreed instead to have her undergo outpatient laparoscopic surgery in which only her ovaries would be removed.

When she awoke, the woman was “shocked” to discover Perwaiz performed a total abdominal hysterectomy in which her bladder was perforated and she developed sepsis, according to the affidavit said.

Medical records showed the hysterectomy was documented as an “elective surgery” and that there was no mention of any “precancerous cells.”

In 1996, Perwaiz pleaded guilty to tax evasion and was sentenced to five years of probation. His medical license was temporarily revoked. He has faced at least eight malpractice lawsuits over the years.

A federal magistrate ordered him held without bond until at least Thursday, when a detention hearing was scheduled, noting that prosecutors were concerned he might flee.

Lawrence Woodward Jr., Perwaiz’s attorney, denied his client was a flight risk, saying his client knew he was under investigation for about two weeks.

“And he’s still here,” Woodward said.