During the liver transplant operations, Bramhall made a decision to brand his patients using something called an argon beam coagulator.
Okay, that might be dramatic, but a surgeon has admitted to burning his initials into the livers of two transplant patients with a laser beam which seems wholly unnecessary.
Bramhall is now out on bail and will face sentencing January 12 at Birmingham Crown Court in central England.
While the initials aren't thought to be harmful to each patient's liver and would eventually disappear, one of Bramhall's victims did not heal properly, leaving the scar visible.
He was suspended from his post as consultant surgeon at Birmingham's Queen Elizabeth hospital soon after.
"I had a disciplinary meeting on May 15. It is a bit raw and I have to move on".
Speaking after Bramhall's suspension, Joyce Robins, of Patient Concern, said: "This is a patient we are talking about, not an autograph book".
According to The Guardian, Prosecutor Tony Badenoch said, "It was an intentional application of unlawful force to a patient whilst anaesthetized".
He pointed out in court that it had been a "highly unusual and complex case, both within the expert medical testimony served by both sides and in law".
Prior to his resignation, Bramhall was a renowned liver, spleen and pancreas surgeon, who had attracted media attention for his successful transplants.
"Those assaults were wrong not just ethically, but also criminally". Dr. Simon Bramhall has now been charged with assault, years after another surgeon discovered the branding. "It was done in the presence of colleagues", he added.