Trauma surgery President Garfield was shot in the abdomen by Charles J. Guiteau. Two days later, a miner was shot outside Tombstone. On July 13, 1881, Goodfellow performed the first recorded laparotomy to treat the miner's gunshot wound. The man had a perforated small intestine, large intestine and bowel. Goodfellow sutured six holes in the man's organs. Similarly, President Garfield was thought later to have a bullet possibly lodged near his liver but it could not be found. Sixteen doctors attended to Garfield and most probed the wound with their fingers or dirty instruments. Unlike the President, the miner survived. Goodfellow treated
Charles J. Guiteau and distraught after his final encounter with Blaine, he decided the only solution was to remove Garfield and elevate Vice President Chester A. Arthur, an acolyte of Senator Roscoe Conkling, the Stalwart leader who managed Grant's 1880 campaign and was not on friendly terms with Garfield. Guiteau felt that God told him to kill the president; he felt that such an act would be a "removal" as opposed to an assassination. He also felt that Garfield needed to be killed to rid the Republican Party of Blaine's influence. Borrowing $15 from George Maynard, a relative by marriage, Guiteau set out