More than 10% of South Africans - some 5.5 million people - have HIV |
A complaint was filed with the national health watchdog against Dr Leon Wagner after the woman died in April 2005.
Dr Wagner has not yet entered a plea, saying it is unclear what rule he has broken. The hearing has been adjourned.
A BBC correspondent says the stigma attached to Aids means doctors do not commonly list it as the cause of death.
Deaths are attributed on death certificates to related diseases, such as tuberculosis or pneumonia, rather than Aids, the BBC's Peter Biles in Johannesburg says.
The charge of unprofessional conduct has sparked debate in South Africa about the extent to which Aids-related deaths are covered up, he says.
South Africa, where 5.5 million people are living with HIV, is one of several countries where the HIV epidemic is continuing to worsen, according to a UNAids report released this week.
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