Penzler Pick, August 2001: Tess Gerritsen left a very successful career as an internist to raise her children and devote more time to writing. After several books that have had moderate success, Gerritsen has now written a gruesome and frightening story that should put her among the top women thriller writers working today.

A serial killer is on the loose in Boston. The victims are killed in a particularly nasty way: cut with a scalpel on the stomach, the intestines and uterus removed, and then the throat slashed. The killer obviously has medical knowledge and has been dubbed "the Surgeon" by the media. Detective Thomas Moore and his partner Rizzoli of the Boston Homicide Unit have discovered something that makes this case even more chilling. Years ago in Savannah a serial killer murdered in exactly the same way. He was finally stopped by his last victim, who shot him as he tried to cut her. That last victim is Dr. Catherine Cordell, who now works as a cardiac surgeon at one of Boston's prestigious hospitals. As the murders continue, it becomes obvious that the killer is drawing closer and closer to Dr. Cordell, who is becoming so frightened that she is virtually unable to function. But she is the only person who can help the police catch this copycat killer. Or is it a copycat? To complicate matters even further, Detective Moore, often referred to as Saint Thomas as he continues to mourn the loss of his wife, is getting emotionally involved with the doctor.

The suspense in The Surgeon is almost unbearable. The writing is superb and the stunning twists and turns make it almost impossible to put down. -- Otto Penzler

From Publishers Weekly
A creepy cerebral serial killer vaguely reminiscent of Hannibal Lecter pursues a charismatic female doctor in this thoroughly satisfying if somewhat derivative thriller. Skillfully drawn surgical backdrops sizzling with ER intensity balance out the obligatory romantic intrigue and familiar plucky police professionals, attesting to Gerritsen's authentic medical expertise as a former physician. Dr. Catherine Cordell, the main character in this chilling tale, thought she had shot and killed her rapist and would-be murderer two years earlier in steamy Savannah, where he was a surgery intern at her hospital. Now, in Boston, as another hot summer begins, he appears to have miraculously returned and embarked once again on his grisly mission: he rapes women, then surgically removes their wombs. As two intrepid detectives Thomas Moore and Jane Rizzoli investigate, Cordell begins to doubt her own memories (or lack of) and discovers that not even her OR is safe. Gliding as smoothly as a scalpel in a confident surgeon's hand, this tale proves that Gerritsen (Harvest; Life Support; Bloodstream; Gravity), originally a romance writer, has morphed into a dependable suspense novelist whose growing popularity is keeping pace with her ever-finer writing skills. (Sept.)Forecast: National print advertising in People, the New York Times and USA Today, plus a major promotion campaign, will ratchet Gerritsen's sales up yet another notch. Copyright 2001 Cahners Business Information, Inc.

From Library Journal
In this frighteningly suspenseful tale, Detective Tom Moore and his partner Jane Rizzoli try to discover who is playing "surgeon" in Boston, and why. A serial killer strikes, butchering his female victims with a precision that indicates he has expert medical knowledge. Some years ago in Savannah, GA, a serial killer murdered women in exactly the same way, until his last victim, Dr. Catherine Cordell, who now works in Boston, shot and killed him. As the investigation progresses, Cordell is brought in to help. The Surgeon is a fascinating medical story with a gripping plot and rich, complex characters. Christine Marshall's clear and thoughtful reading adds to the depth and level of suspense. Highly recommended. Denise A. Garofalo, Astor Learning Ctr., Rhinebeck, NYCopyright 2002 Cahners Business Information, Inc.

From AudioFile
Christine Louise Marshall reads this hold-your-breath medical thriller that is not for the light of heart. Dr. Catherine Cordell works a hard and joyless life as an emergency room trauma physician in order to blot out the horror of the serial rapist-murderer she killed in self-defense two years earlier in Georgia. Now a new evil has appeared in Boston, performing atrocities that could only be known by Cordell's dead assailant. In the sections told from the killer's perspective, Christine Marshall is not as effective or believable as she is in the third-person narrative. Throughout the rest of the book, however, Marshall's piercing and powerful reading gives the listener an unforgettable roller-coaster ride. S.E.S. © AudioFile 2002, Portland, Maine-- Copyright © AudioFile, Portland, Maine

From Booklist
After an almost brutal confrontation with trauma surgeon Catherine Cordell, detective Jane Rizzoli, the only woman in the Boston Police's homicide unit, observes that "there's cool, and then there's ice." Before moving to Boston, Cordell was raped in her Savannah, Georgia, home and would have had her uterus cut out if she hadn't freed herself and shot her assailant before he completed his surgical procedures. Later in Boston, three other women weren't as plucky. Since Andrew Capra, the surgeon who almost killed Cordell, was himself killed, who is playing "surgeon" in Boston, and why? The answers to those questions come out bit by bit. In the process, detective Tom Moore and Cordell fall in love, and the head of the homicide unit sends him off to Savannah, ostensibly to investigate the Capra murder scene but in reality to get him away from Cordell. While perusing Capra's class picture in an Emory Medical School yearbook, Moore finds the key to both the "surgeon" and his motivation. Back in Boston, Rizzoli mistakenly kills an unarmed assailant, gets dismissed to the Boston equivalent of Coventry, but ultimately saves Cordell from the "surgeon," though she almost loses her own life. Gerritsen fans know by now what to expect from her: a fascinating story with a gripping plot and believably human characters. Such is The Surgeon, and, in places, then some. Let new readers learn what the fans delight in. William Beatty
Copyright © American Library Association. All rights reserved

Review
"Gerritsen fans know by now what to expect from her: a fascinating story with a gripping plot and believably human characters. Such is The Surgeon, and, in places, then some. Let new readers learn what the fans delight in.

-Booklist


"Gliding as smoothly as a scalpel in a confident surgeon's hand, this tale proves that Gerritsen...has morphed into a...suspense novelist whose growing popularity is keeping pace with her ever-finer writing skills."

-Publisher's Weekly


From the Hardcover edition.

Review
"Gerritsen fans know by now what to expect from her: a fascinating story with a gripping plot and believably human characters. Such is The Surgeon, and, in places, then some. Let new readers learn what the fans delight in.

-Booklist


"Gliding as smoothly as a scalpel in a confident surgeon's hand, this tale proves that Gerritsen...has morphed into a...suspense novelist whose growing popularity is keeping pace with her ever-finer writing skills."

-Publisher's Weekly


From the Hardcover edition.

Book Description
In her most masterful novel of medical suspense, New York Times bestselling author Tess Gerritsen creates a villain of unforgettable evil--and the one woman who can catch him before he kills again.

He slips into their homes at night and walks silently into bedrooms where women lie sleeping, unaware of the horrors they soon will endure. The precision of the killer's methods suggests he is a deranged man of medicine, propelling the Boston newspapers and the frightened public to name him "The Surgeon."

The cops' only clue rests with another surgeon, the victim of a nearly identical crime. Two years ago, Dr. Catherine Cordell fought back and killed her attacker before he could complete his assault. Now she hides her fears of intimacy behind a cool and elegant exterior and a well-earned reputation as a top trauma surgeon.

Cordell's careful facade is about to crack as this new killer recreates, with chilling accuracy, the details of Cordell's own ordeal. With every new murder he seems to be taunting her, cutting ever closer, from her hospital to her home. Her only comfort comes from Thomas Moore, the detective assigned to the case. But even Moore cannot protect Cordell from a brilliant hunter who somehow understands--and savors--the secret fears of every woman he kills.

Filled with the authentic detail that is the trademark of this doctor turned author . . . and peopled with rich and complex characters--from the ER to the squad room to the city morgue--here is a thriller of unprecedented depth and suspense. Exposing the shocking link between those who kill and cure, punish and protect, The Surgeon is Tess Gerritsen's most exciting accomplishment yet.


From the Hardcover edition.

From the Inside Flap
In her most masterful novel of medical suspense, New York Times bestselling author Tess Gerritsen creates a villain of unforgettable evil--and the one woman who can catch him before he kills again.

He slips into their homes at night and walks silently into bedrooms where women lie sleeping, unaware of the horrors they soon will endure. The precision of the killer's methods suggests he is a deranged man of medicine, propelling the Boston newspapers and the frightened public to name him "The Surgeon."

The cops' only clue rests with another surgeon, the victim of a nearly identical crime. Two years ago, Dr. Catherine Cordell fought back and killed her attacker before he could complete his assault. Now she hides her fears of intimacy behind a cool and elegant exterior and a well-earned reputation as a top trauma surgeon.

Cordell's careful facade is about to crack as this new killer recreates, with chilling accuracy, the details of Cordell's own ordeal. With every new murder he seems to be taunting her, cutting ever closer, from her hospital to her home. Her only comfort comes from Thomas Moore, the detective assigned to the case. But even Moore cannot protect Cordell from a brilliant hunter who somehow understands--and savors--the secret fears of every woman he kills.

Filled with the authentic detail that is the trademark of this doctor turned author . . . and peopled with rich and complex characters--from the ER to the squad room to the city morgue--here is a thriller of unprecedented depth and suspense. Exposing the shocking link between those who kill and cure, punish and protect, The Surgeon is Tess Gerritsen's most exciting accomplishment yet.


From the Hardcover edition.

From the Back Cover
"Gerritsen fans know by now what to expect from her: a fascinating story with a gripping plot and believably human characters. Such is The Surgeon, and, in places, then some. Let new readers learn what the fans delight in.

-Booklist


"Gliding as smoothly as a scalpel in a confident surgeon's hand, this tale proves that Gerritsen...has morphed into a...suspense novelist whose growing popularity is keeping pace with her ever-finer writing skills."

-Publisher's Weekly


From the Hardcover edition.

About the Author
Tess Gerritsen left a successful practice as an internist to raise her children and concentrate on her writing. She gained nationwide acclaim for her first novel of medical suspense, the New York Times bestseller Harvest. She is also the author of the bestsellers Life Support, Bloodstream, and Gravity. Tess Gerritsen lives in Maine.


From the Hardcover edition.

Excerpt. © Reprinted by permission. All rights reserved.
One year later Detective Thomas Moore disliked the smell of latex, and as he snapped on the gloves, releasing a puff of talcum, he felt the usual twinge of anticipatory nausea. The odor was linked to the most unpleasant aspects of his job, and like one of Pavlov’s dogs, trained to salivate on cue, he’d come to associate that rubbery scent with the inevitable accompaniment of blood and body fluids. An olfactory warning to brace himself.

And so he did, as he stood outside the autopsy room. He had walked in straight from the heat, and already sweat was chilling on his skin. It was July 12, a humid and hazy Friday afternoon. Across the city of Boston, air conditioners rattled and dripped, and tempers were flaring. On the Tobin Bridge, cars would already be backed up, fleeing north to the cool forests of Maine. But Moore would not be among them. He had been called back from his vacation, to view a horror he had no wish to confront.

He was already garbed in a surgical gown, which he’d pulled from the morgue linen cart. Now he put on a paper cap to catch stray hairs and pulled paper booties over his shoes, because he had seen what sometimes spilled from the table onto the floor. The blood, the clumps of tissue. He was by no means a tidy man, but he had no wish to bring any trace of the autopsy room home on his shoes. He paused for a few seconds outside the door and took a deep breath. Then, resigning himself to the ordeal, he pushed into the room.

The draped corpse lay on the table—a woman, by the shape of it. Moore avoided looking too long at the victim and focused instead on the living people in the room. Dr. Ashford Tierney, the Medical Examiner, and a morgue attendant were assembling instruments on a tray. Across the table from Moore stood Jane Rizzoli, also from the Boston Homicide Unit. Thirty-three years old, Rizzoli was a small and square-jawed woman. Her untamable curls were hidden beneath the paper O.R. cap, and without her black hair to soften her features, her face seemed to be all hard angles, her dark eyes probing and intense. She had transferred to Homicide from Vice and Narcotics six months ago. She was the only woman in the homicide unit, and already there had been problems between her and another detective, charges of sexual harassment, countercharges of unrelenting bitchiness. Moore was not sure he liked Rizzoli, or she him. So far they had kept their interactions strictly business, and he thought she preferred it that way.

Standing beside Rizzoli was her partner, Barry Frost, a relentlessly cheerful cop whose bland and beardless face made him seem much younger than his thirty years. Frost had worked with Rizzoli for two months now without complaint, the only man in the unit placid enough to endure her foul moods.

As Moore approached the table, Rizzoli said, “We wondered when you’d show up.”

“I was on the Maine Turnpike when you beeped me.”

“We’ve been waiting here since five.”

“And I’m just starting the internal exam,” Dr. Tierney said. “So I’d say Detective Moore got here right on time.” One man coming to the defense of another. He slammed the cabinet door shut, setting off a reverberating clang. It was one of the rare occasions he allowed his irritation to show. Dr. Tierney was a native Georgian, a courtly gentleman who believed ladies should behave like ladies. He did not enjoy working with the prickly Jane Rizzoli.

The morgue attendant wheeled a tray of instruments to the table, and his gaze briefly met Moore’s with a look of, Can you believe this bitch?

“Sorry about your fishing trip,” Tierney said to Moore. “It looks like your vacation’s canceled.”

“You’re sure it’s our boy again?”

In answer, Tierney reached for the drape and pulled it back, revealing the corpse. “Her name is Elena Ortiz.”

Though Moore had been braced for this sight, his first glimpse of the victim had the impact of a physical blow. The woman’s black hair, matted stiff with blood, stuck out like porcupine quills from a face the color of blue-veined marble. Her lips were parted, as though frozen in mid-utterance. The blood had already been washed off the body, and her wounds gaped in purplish rents on the gray canvas of skin. There were two visible wounds. One was a deep slash across the throat, extending from beneath the left ear, transecting the left carotid artery, and laying open the laryngeal cartilage. The coup de grace. The second slash was low on the abdomen. This wound had not been meant to kill; it had served an entirely different purpose.

Moore swallowed hard. “I see why you called me back from vacation.”

“I’m the lead on this one,” said Rizzoli.

He heard the note of warning in her statement; she was protecting her turf. He understood where it came from, how the constant taunts and skepticism that women cops faced could make them quick to take offense. In truth he had no wish to challenge her. They would have to work together on this, and it was too early in the game to be battling for dominance.

He was careful to maintain a respectful tone. “Could you fill me in on the circumstances?”

Rizzoli gave a curt nod. “The victim was found at nine this morning, in her apartment on Worcester Street, in the South End. She usually gets to work around six a.m. at Celebration Florists, a few blocks from her residence. It’s a family business, owned by her parents. When she didn’t show up, they got worried. Her brother went to check on her. He found her in the bedroom. Dr. Tierney estimates the time of death was somewhere between midnight and four this morning. According to the family, she had no current boyfriend, and no one in her apartment building recalls seeing any male visitors. She’s just a hardworking Catholic girl.”

Moore looked at the victim’s wrists. “She was immobilized.”

“Yes. Duct tape on the wrists and ankles. She was found nude. Wearing only a few items of jewelry.”

“What jewelry?”

“A necklace. A ring. Ear studs. The jewelry box in the bedroom was untouched. Robbery was not the motive.”

Moore looked at the horizontal band of bruising across the victim’s hips. “The torso was immobilized as well.”

“Duct tape across the waist and the upper thighs. And across her mouth.”

Moore released a deep breath. “Jesus.” Staring at Elena Ortiz, Moore had a disorienting flash of another young woman. Another corpse—a blonde, with meat-red slashes across her throat and abdomen.

“Diana Sterling,” he murmured.

“I’ve already pulled Sterling’s autopsy report,” said Tierney. “In case you need to review it.”

But Moore did not; the Sterling case, on which he had been lead detective, had never strayed far from his mind.

A year ago, thirty-year-old Diana Sterling, an employee at the Kendall and Lord Travel Agency, had been discovered nude and strapped to her bed with duct tape. Her throat and lower abdomen were slashed. The murder remained unsolved.

Dr. Tierney directed the exam light onto Elena Ortiz’s abdomen. The blood had been rinsed off earlier, and the edges of the incision were a pale pink.

“Trace evidence?” asked Moore.

“We picked off a few fibers before we washed her off. And there was a strand of hair, adhering to the wound margin.”

Moore looked up with sudden interest. “The victim’s?”

“Much shorter. A light brown.”

Elena Ortiz’s hair was black.

Rizzoli said, “We’ve already requested hair samples from everyone who came into contact with the body.”

Tierney directed their attention to the wound. “What we have here is a transverse cut. Surgeons call this a Maylard incision. The abdominal wall was incised layer by layer. First the skin, then the superficial fascia, then the muscle, and finally the pelvic peritoneum.”

“Like Sterling,” said Moore.

“Yes. Like Sterling. But there are differences.”

“What differences?”

“On Diana Sterling, there were a few jags in the incision, indicating hesitation, or uncertainty. You don’t see that here. Notice how cleanly this skin has been incised? There are no jags at all. He did this with absolute confidence.” Tierney’s gaze met Moore’s. “Our unsub is learning. He’s improved his technique.”

“If it’s the same unknown subject,” Rizzoli said.

“There are other similarities. See the squared-off margin at this end of the wound? It indicates the track moves from right to left. Like Sterling. The blade used in this wound is single-edged, nonserrated. Like the blade used on Sterling.”

“A scalpel?”

“It’s consistent with a scalpel. The clean incision tells me there was no twisting of the blade. The victim was either unconscious, or so tightly restrained she couldn’t move, couldn’t struggle. She couldn’t cause the blade to divert from its linear path.”

Barry Frost looked like he wanted to throw up. “Aw, jeez. Please tell me she was already dead when he did this.”

“I’m afraid this is not a postmortem wound.” Only Tierney’s green eyes showed above the surgical mask, and they were angry.

“There was antemortem bleeding?” asked Moore.

“Pooling in the pelvic cavity. Which means her heart was still pumping. She was still alive when this . . . procedure was done.”

Moore looked at the wrists, encircled by bruises. There were similar bruises around both ankles, and a band of petechiae—pinpoint skin hemorrhages—stretched across her hips. Elena Ortiz had struggled against her bonds.

“There’s other evidence she was alive during the cutting,” said Tierney. “Put your hand inside the wound, Thomas. I think you know what you’re going to find.”


From the Hardcover edition.

ANNOTATION

In her most masterful novel of medical suspense, New York Times bestselling author Tess Gerritsen creates a villain of unforgettable evil--and the one woman who can catch him before he kills again.

FROM THE PUBLISHER

In her most masterful novel of medical suspense, New York Times bestselling author Tess Gerritsen creates a villain of unforgettable evil--and the one woman who can catch him before he kills again.

SYNOPSIS

Filled with the authentic detail that is the trademark of this doctor turned author ... and peopled with rich and complex characters--from the ER to the squad room to the city morgue--here is a thriller of unprecedented depth and suspense. Exposing the shocking link between those who kill and cure, punish and protect, The Surgeon is Tess Gerritsen's most exciting accomplishment yet

FROM THE CRITICS

Stephen King

Tess Gerritsen Is An Automatic Must-Read In My House. . . . What Anne Rice is to vampires, Gerritsen is to the tale of medical suspense.

Tami Hoag

The Surgeon grabbed me by the throat and didn't let go until its hair-raising finish.

Michael Palmer

Wonderfully crafted and absolutely terrifying, The Surgeon is the finest, most thrilling Gerritsen novel yet, and that, my friends, is really saying something. I lost most of a night's sleep finishing the book and the rest of the night trying to calm down. This is a story you'll be talking up and thinking about for months to come. The tension is white-knuckle, the writing as deft as a surgeon's slice.

John Saul

Life Support Grabs You And Holds You From Page One. . . . Be prepared to drop all your obligations until you finish.

Los Angeles Times