Daniel Hale Williams built institutions for Black doctors and nurses when the medical profession shut them out. He founded Chicago’s Provident Hospital in 1891, and in July 1893 repaired a stab wound to the sac around a patient’s heart — an operation long celebrated as the first successful open-heart surgery, and more precisely one of the earliest successful sutures of the pericardium on record.
At a Glance
- Born
- 18 January 1856, Hollidaysburg, Pennsylvania
- Died
- 4 August 1931, Idlewild, Michigan
- Known for
- Founding Provident Hospital and Training School for Nurses (1891); suture of the pericardium of James Cornish (1893); co-founding the National Medical Association (1895)
- HBCU ties
- Howard University (Surgeon-in-chief, 1894–1898, of Freedmen’s Hospital, Howard’s teaching hospital); Meharry Medical College (Visiting professor of clinical surgery, teaching without pay)
- Fields
- Medicine · Organizing
- Era
- Turn of the Century
Early Life
Williams was born in Hollidaysburg, Pennsylvania, on 18 January 1856, the fifth of seven children of Daniel Williams Jr. and Sarah Price Williams, a free family of mixed African American and European ancestry. His father, who had prospered as a property owner, died of tuberculosis shortly after the Civil War during a family visit to Annapolis, Maryland, and his mother, struggling to support the children, apprenticed him to a shoemaker in Baltimore.
Unhappy with the trade, he followed his mother west and eventually settled on his own in Janesville, Wisconsin, where he worked as a barber, played in a string band, and read borrowed books between customers. He completed his schooling at the Janesville Classical Academy in 1878, briefly read law, and then apprenticed himself to Dr. Henry Palmer, a prominent Janesville surgeon. In 1880 he entered the Chicago Medical College, a progressive school later absorbed into Northwestern University, borrowing money to pay his way, and received his M.D. in March 1883.
Life and Work
Williams opened a practice on Chicago’s South Side, served patients of both races, and taught anatomy at his alma mater. He adopted the new antiseptic techniques then transforming surgery. Black physicians were generally denied staff privileges at the city’s hospitals, and Black women could not gain admission to its nursing schools. In response Williams organized a campaign among Black churches, businessmen, and white philanthropists, and in January 1891 the Provident Hospital and Training School Association was chartered. The hospital opened on 4 May 1891 in a three-story building at 29th and Dearborn Streets with twelve beds, an interracial medical staff, and a nursing school for Black women.
On the night of 9 July 1893, James Cornish, a young Black man stabbed in the chest during a saloon fight, was brought to Provident. The next day, as his condition worsened, Williams opened the chest without the aid of X-rays, blood transfusion, or modern anesthesia. He tied off a damaged internal mammary artery, found a wound in the pericardium, the membrane surrounding the heart, and closed it with catgut sutures. Cornish required a second operation to drain fluid but left the hospital after 51 days. The Chicago Inter Ocean reported the case under the headline “Sewed Up His Heart!”, and Cornish, by later accounts, lived for decades afterward. Williams published the case in the Medical Record in 1897.
The operation is often called the first successful open-heart surgery, a claim that needs qualification. Williams did not suture the heart muscle itself, and Henry Dalton of St. Louis had repaired a pericardial wound in 1891; the first widely recognized successful suture of the heart muscle was performed by the German surgeon Ludwig Rehn in 1896. Williams’s operation remains among the earliest successful pericardial repairs on record and a landmark of American surgery, performed at a Black-founded hospital.
In 1894 Williams was appointed surgeon-in-chief of Freedmen’s Hospital in Washington, D.C., the federal hospital that served as Howard University’s teaching hospital. He reorganized an institution weakened by years of neglect, improving its surgical practice, opening a training school for Black nurses, recruiting an interracial staff, and introducing an ambulance service. Physicians came from other cities to watch him operate. In 1895, with other Black physicians barred from the American Medical Association, he helped found the National Medical Association. In 1898 he married Alice Johnson, left Freedmen’s, and returned to Chicago and Provident.
Back in Chicago Williams served for years as a visiting professor of clinical surgery at Meharry Medical College in Nashville, operating and teaching there without pay, at first in a crowded basement room and, by 1910, in a separate forty-bed hospital building, and joined the surgical staff of St. Luke’s Hospital, where he worked from 1907 until 1926. In 1913 he became the first African American member of the newly founded American College of Surgeons. His formal connection with Provident, marked in later years by bitter disputes within its staff, ended in 1912.
Legacy
After a stroke in 1926 Williams retired to Idlewild, Michigan, a resort community popular with Black professionals, where he had built a summer home in 1920. Alice Johnson Williams died of Parkinson’s disease a few years after the move. Williams died at Idlewild on 4 August 1931. His will left the largest single bequest, $8,000, to the National Association for the Advancement of Colored People.
Williams’s larger legacy lies in institutions: Provident, which became a training ground for generations of Black nurses and physicians; the reorganized Freedmen’s Hospital; and the National Medical Association, which still represents African American physicians. His 1893 operation, though often overstated as a “first,” demonstrated what Black surgeons could accomplish in a hospital of their own at a time when the profession excluded them. In Chicago’s Douglas community area, a park bearing his name stands near the corner of 29th and Dearborn Streets, where the original Provident Hospital opened its doors in 1891.
When institutions shut Black doctors and nurses out, Williams built new ones, and those institutions trained generations of Black medical professionals. Open the classroom lesson →
Key Dates
- 18 January 1856 Born in Hollidaysburg, Pennsylvania.
- 1878 Graduates from the Janesville Classical Academy; apprentices with Dr. Henry Palmer.
- March 1883 Receives his M.D. from the Chicago Medical College.
- 4 May 1891 Provident Hospital and Training School opens in Chicago.
- 10 July 1893 Sutures the pericardium of stab victim James Cornish, who recovers.
- 1894 Appointed surgeon-in-chief of Freedmen’s Hospital, Washington, D.C.
- 1895 Helps found the National Medical Association.
- 1913 Becomes the first African American member of the American College of Surgeons.
- 4 August 1931 Dies at Idlewild, Michigan.
Sources and Further Reading
- Helen Buckler, Doctor Dan: Pioneer in American Surgery (Boston: Little, Brown, 1954).
- Daniel H. Williams, “Stab Wound of the Heart and Pericardium — Suture of the Pericardium — Recovery — Patient Alive Three Years Afterward,” Medical Record 51 (1897): 437–39.
- Pennsylvania Center for the Book, “Daniel Hale Williams,” Penn State University Libraries. Link
- Herbert G. Ruffin II, “Daniel Hale Williams (1856–1931),” BlackPast.org. Link
- “The South Side doctor who performed the first successful open-heart procedure,” Chicago Reader. Link
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