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A NSW woman's account of a US body modifier's involvement in her botched labia removal is truthful and makes sense, a Crown prosecutor says.

But Howard Rollins' lawyer argues the "deliberately deceptive" complainant's version of events was affected by sedatives she took just before the procedure in January 2015.

"This allegation against a man of unblemished character must be one of the least meritorious cases this court has ever seen," barrister Margaret Cunneen SC said on Tuesday.

Rollins, a 42-year-old also known as Luna Cobra, has pleaded not guilty to being an accessory to the female genital mutilation, arguing he arrived at the Newcastle tattoo parlour hours after the woman had her labia removed.

The woman aged in her 30s has told Sydney District Court she endures daily pain and believes too much was taken off.

Crown prosecutor Georgia Turner said Judge Ian Bourke should discount the theory the woman was affected by Valium while a thermal cautery unit burnt off centimetres of flesh.

"She has described where the accused was at all times," Ms Turner said in her closing address on Tuesday.

"She's not confused about what happened. She didn't have to reconstruct any events or fill in any gaps."

The judge-alone trial has heard the woman had dozens of body modifications including custom scars, silicone implants and piercings in the years prior to 2015 in her quest to look like a mermaid.

The woman gave evidence that when the consensual procedure began, her yells of pain prompted Rollins to order the man doing the work to get more anaesthetic.

She says Rollins told her she didn't have to go through with the procedure - a statement the defence submits was said at another time and place.

In her "typically authentic, blunt way" the woman received more painkillers and said keep going after reasoning she couldn't walk out with her labia partially removed, Ms Turner said.

"It makes sense," the prosecutor said.

"(The) actions she described are consistent with the accused being present, knowing what the procedure was and assisting in the procedure."

But Ms Cunneen said the complainant had reconstructed the events of the labia removal to suit her story.

She presented a list of 35 "very obvious" inconsistencies between her account and that of others - and queried how the woman didn't smell her flesh being burned off.

"This case is based entirely on the evidence of a person who was unable to be truthful about almost anything," the defence barrister said.

"This was the tactic she used - to write out of her account people she knew could contradict aspects of her evidence.

"It was untruthful and an indication of how she deals with the inconvenient truth. She was not only deliberately deceptive but also affected by valium."

Rollins' comment about the woman not having to go through with it was his usual protocol with clients, including when the woman had an earlier eyeball tattoo, Ms Cunneen said.

"We say this very squarely - she has made an effort to write Mr Rollins into this offence."

Judge Bourke is due to deliver his verdict and reasons on May 26. Rollins' bail was continued until that time.

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