"We have no reason to reject the opinion of the experts of All India Institute of Medical Sciences (AIIMS)," a three judge bench headed by Justice T S Thakur said.
Earlier, an eight-member panel of AIIMS doctors, formed on the order of the apex court, had filed the report with the court saying Asaram did not need any surgery and his aliments could be managed through medicines.
It also said Asaram was free to file fresh bail plea after the recording of statements of three remaining key witnesses with the trial court which could decide his plea on merits.
At the outset, the bench, which also comprised justices R K Agrawal and Adarsh Kumar Goel, made clear to Asaram's counsel that it would hear only the interim bail plea filed on medical grounds as earlier submitted by senior advocate Salman Khurshid.
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"Three material witnesses (the girl and her parents) have already been examined and out of remaining three material witnesses, one has been partly examined. Moreover they have nothing to do with the alleged offence in question," he said.
The bench said "we want to make it very clear to you. If you do not go to the High Court then we will not allow you to withdraw it from here and we will pass a detailed order.
"I have no option then," the lawyer said and started arguing for interim bail on medical grounds only.
Asaram, 76, is in jail since his arrest in August, 2013 in a rape case lodged at Jodhpur in Rajasthan.