51 pages • 1-hour read
Tess GerritsenA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
Content Warning: This section of the guide includes discussion of gender discrimination, sexual violence, rape, graphic violence, and graphic medical procedures.
Moore arrives in Savannah. He is taken aback by the sweltering heat of the city in July. He drives to Cordell’s former residence and then the location of Andrew Capra’s apartment. Capra’s building has been torn down. The next day, he goes to the Savannah police department. Detective Mark Singer gives him the files on the Capra case. He is somewhat hostile toward Moore because he thinks Moore is questioning their findings that Capra was responsible for four murders and Cordell’s assault. Moore explains they think Capra had a fan or accomplice.
Moore asks Singer if Capra’s personal address book was ever found, but it was not. Moore reviews the footage of Cordell’s house following the assault. Singer tells Moore that a neighbor reported hearing two gunshots, five minutes apart. Moore wonders why the shots were so far apart in time. Moore notices two glasses on the coffee table and a water glass on the kitchen sink, suggesting three people were in the house. Singer says they did not test the water glass for DNA. Moore also notices that the chain of the back door was not locked. He thinks it indicates that someone might have left the crime scene from the back door. Moore is disturbed by the overall blood and violence of the crime scene.
When he returns to the hotel room, Moore reviews the file from Capra’s first murder, that of Dora Ciccone in Atlanta. He notes Capra raped Ciccone before he killed her. He also finds that the crime lab found a single hair with bamboo hair syndrome on the body in addition to Capra’s hairs. He realizes that Capra’s accomplice had been with him since Atlanta.
Rizzoli goes to see Cordell at the ER. She confronts Cordell about her centrality to the case. She accuses Cordell of having a “weird bond” with the killer. Cordell argues that perhaps the killer is not obsessed with her but rather with Capra. Rizzoli realizes Cordell is right.
The killer reflects on his job at “the largest diagnostic lab in the city” (329). He begins to process an HIV and STD test for a patient. As he works, Cordell enters the lab. He thrills at being so close to her. After she leaves, he checks Cordell’s schedule and sees that she will be at the hospital until 5 pm. The killer goes to the garage and checks that Cordell’s car is there. He has Cordell’s car keys that he stole from her desk. He thinks about the Trojan Horse from Greek mythology and how none of Troy’s soldiers thought there might be a threat hidden inside. He decides that today is the day he will “claim [his] prize” (334).
Moore meets with a secretary at the Emory University Medical School Office of Student Affairs where Capra attended medical school. She cannot tell him very much about Capra except that he seemed like “a good boy” (336). Moore looks at the yearbooks for the graduating classes. He notes that only 108 people graduated from Capra’s class even though 110 people were admitted. The secretary says one student died in an accident in Haiti and another, Warren Hoyt, dropped out. She tells him to ask Dr. Kahn, the anatomy professor, about what happened.
Moore interviews Dr. Kahn. Dr. Kahn explains he had Hoyt expelled when he found Hoyt in the anatomy lab masturbating over a mutilated female corpse. Hoyt was Capra’s lab partner.
Cordell talks to Falco. She explains that their relationship has been tense because she did not want to tell Falco about what happened to her in Savannah. Falco is understanding. He says he does not pity Cordell; on the contrary he finds her incredibly strong and brave. He gives her a friendly embrace and walks her to her car.
Cordell is at home when she receives a call from the hospital saying that her recently deceased patient Herman Gwadowski’s son is insisting on meeting with her immediately. Cordell gets into her car. She calls the hospital from her car phone to explain she will be late to the meeting. While she is on the phone, she sees Hoyt in the backseat. He chloroforms her and she drops the phone.
The hospital calls the police to inform them what happened. Moore races to Hoyt’s apartment. They do not find any of the killer’s tools there. They realize Hoyt must be holding Cordell somewhere else. They go to the lab to find out more about Hoyt. They realize he was selecting his victims using information from the lab. He deduced from the blood tests that had been ordered if the victim had been sexually assaulted. Falco begs Moore to find Cordell before it is too late.
In this section of The Surgeon, the pace quickens as the rising action heads toward the climatic confrontation with the killer, now identified as Warren Hoyt. In Chapter 20, Hoyt observes Cordell’s car in the parking lot and reminisces about the Trojan Horse during the Trojan War. This is foreshadowing for his later actions. During the Trojan War, as described at length in Virgil’s Aeneid, the Greek soldiers made a wooden horse as a “gift” for the Trojans. They then hid inside the horse. After the Trojans brought the horse within the walls of the city, the Greeks sneaked out and attacked them. In a manner typical of Hoyt, he inscribes his actions within a mythic framework to make them seem grander or more important than they truly are. His reference to the Trojan Horse is an elliptical way of hinting that he intends to hide in the trunk of Cordell’s car and then attack her in the parking garage.
Toward the end of Chapter 22, Hoyt attacks Cordell. This scene is written as a classic stereotypical “jump scare.” Cordell catches sight of Hoyt in the rearview mirror. Before she can react, he uses chloroform to render her unconscious. This moment is frightening, and it is also one seen in countless crime thrillers in novels, film, and television. The use of chloroform in this way is a cliché of crime writing, which is effective because it is frightening to consider that one could be rendered helpless within moments.
The information Detective Moore uncovers about the killers Capra and Hoyt in Atlanta are the closest the narrative comes to establishing the origins of The Psychology of Serial Killers. Moore learns from Dr. Kahn that Capra was “perfectly normal.” He also learns that the first indication of any abnormal behavior from Hoyt was when Kahn found Hoyt after he had “hacked out the uterus” (348) of a cadaver and then masturbated over the body. When Kahn confronted Hoyt about his behavior, he was “mechanical” and “very rational” (347). This suggests that both of these serial killers were outwardly unremarkable despite their disturbing private fantasies and behavior. However, much is left unexplained in the narrative about their motivations or rationale, such as how they discovered they shared a passion for sadistic murders or whether Hoyt was led to participate in these acts because of his admiration for Capra. These unexplained gaps are reflective of the real difficulty of understanding serial killers. In clichéd depictions of serial killers, they are set on the path of becoming a career criminal by things like a bad childhood. Gerritsen eschews these pat answers by leaving unwritten that which is unknown about what truly motivates these killers apart from their hatred of women.



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