On January 8, 2011, Giffords was shot in the head gathering of the year. A man ran up to the crowd and began firing a
9mm pistol with a
33-round magazine. The gunman hit 19 people with gunfire, killing six. Among the dead were federal judge
John Roll and 9-year-old Christina-Taylor Green, the granddaughter of the major league baseball manager and
GM Dallas Green. A twentieth person was injured at the scene, but not by gunfire. was detained by bystanders until he was taken into police custody. Federal officials charged Loughner on the next day with killing federal government employees, attempting to assassinate a member of Congress, and attempting to kill federal employees. After eventually facing more than 50 federal criminal charges, Loughner pleaded guilty to 19 of them in a
plea bargain to avoid a
death sentence. Giffords's intern,
Daniel Hernández Jr., provided first-aid assistance to her immediately after she was wounded, and is credited with saving her life. She was quickly evacuated to the
University Medical Center of Tucson in critical condition, though she was still conscious and "following commands." The bullet passed through Giffords's head without crossing the midline of the brain, where the most critical injuries typically result. Doctors who first treated Giffords said the bullet entered the back of her head and exited through the front of her skull, but physicians later concluded that it had traveled in the opposite direction. Upon receiving a call from a staffer about Giffords's injury, her husband,
Mark Kelly, and his daughters flew in a friend's aircraft directly from Houston to Tucson.
Recovery Giffords was initially placed in an
induced coma to allow her brain to rest. She was able to respond to simple commands when periodically awakened, but was unable to speak as she was on a
ventilator. Nancy Pelosi (the
House minority leader) shared that Giffords's husband, Mark Kelly, had acknowledged that there was a "rough road ahead" in her recovery, but that he was encouraged by her responsiveness, including her ability to signal with her hand and move both arms. U.S. Army Col.
Geoffrey Ling, a neurologist at the
Uniformed Services University in Bethesda, Maryland, was sent to Tucson to consult on Giffords's condition. Ling stated, "Her prognosis for maintaining the function that she has is very good. It's over 50 percent." On January 11, neurosurgeon G. Michael Lemole Jr. said that Giffords's sedation had been reduced and that she could breathe on her own. On January 12, President
Barack Obama visited Giffords at the medical center and publicly stated in an evening memorial ceremony for the victims of the shooting that Giffords had "opened her eyes for the first time" that day. Shortly after the shootings, some questions were raised by the media as to whether Giffords could be removed from office under a state law that allows a public office to be declared vacant if the officeholder is absent for three months, but a spokesperson for the Arizona secretary of state said the statute "doesn't apply to federal offices" and was, therefore, not relevant. As Giffords's status improved, by mid-January she began simple physical therapy, including sitting up with the assistance of hospital staff and moving her legs upon command. Lynn Polonski, an ophthalmologist, surgically repaired Giffords's damaged eye socket, with additional reconstructive surgery to follow. Giffords's condition improved from "critical" to "serious" on January 17, and to "good" on January 25. She was transferred on January 21 to the
Memorial Hermann Medical Center in
Houston, Texas, where she subsequently moved to the
TIRR Memorial Hermann to undergo a program of physical therapy, occupational therapy and speech therapy. Medical experts' initial assessment in January was that Giffords's recovery could take from several months to more than one year. Upon her arrival in Houston, her doctors were optimistic, saying she had "great rehabilitation potential". On March 12, 2011, Giffords's husband informed her that six people had been killed in the attack on her, but he did not identify who they were until months later. In late April, Giffords's doctors reported that her physical, cognitive, and language production abilities had improved significantly, placing her in the top 5 percent of patients recovering from similar injuries. From early in her recovery, Giffords's husband had expressed confidence that she would be able to travel to the
Kennedy Space Center, Florida, to witness the launch of his final Space Shuttle mission,
STS-134, which was scheduled for April 2011. On April 25, Giffords's doctors cleared her for travel to Florida for the launch, scheduled for April 29. She went to Florida to watch from a private family area with no public appearance or photography. The launch of STS-134 was delayed by mechanical problems, and Giffords and Kelly returned to Houston after meeting with President Obama, who had also planned to see the launch with his family at
Kennedy Space Center (KSC). After continuing her rehabilitation therapy in Houston, Giffords returned to KSC for her husband's launch on May 16, 2011. Kelly wore his wife's wedding ring into space, which she had exchanged for his. Giffords underwent
cranioplasty surgery on May 18, 2011, to replace the part of her skull that had been removed in January to permit her brain to swell after the gunshot to her head. Surgeons replaced the bone with a piece of molded hard plastic, fixed with tiny screws. They expected that her skull would eventually fuse with the porous plastic. From that point, Giffords no longer needed to wear the helmet that she had been wearing to protect her brain from further injury. On June 9, 2011, her aide Pia Carusone announced that while Giffords's comprehension appeared to be "close to normal, if not normal", she was not yet speaking in complete sentences. On June 12, two photos of Giffords taken on May 17 were released, the first since the shooting. On June 15, Giffords was released from the hospital to return home, where she continued speech, music, physical and occupational therapy. Having learned the French horn as a child, she picked it up again as part of her music therapy, an experience she described in a speech endorsing Joe Biden's presidential bid at the
2020 Democratic presidential convention. On August 1, 2011, she made her return to the House floor to vote in favor of
raising the debt limit ceiling. She was met with a standing ovation and accolades from her fellow members of Congress. A Giffords spokesman, Mark Kimble, stated in August 2011 that the congresswoman was walking without a cane and was writing left-handed, as she did not have full use of her right side. On October 6, Giffords traveled to Washington for her husband's retirement ceremony, where she presented him with the
Distinguished Flying Cross medal. She returned to her husband's Texas home. On October 25, 2011, she travelled to
Asheville, North Carolina, for intensive rehabilitation treatments, ending November 4. During her treatments in North Carolina, she stayed at the
North Carolina Governor's Western Residence. In Kelly's memoir,
Gabby: A Story of Courage and Hope, released in November 2011, he reported that Giffords would return to Congress. , she continued to struggle with language and had lost fifty percent of her vision in both eyes. She attended President Obama's
2012 State of the Union Address on January 24, and formally submitted her resignation on January 25. Appearing on the floor of the House, after the last bill she sponsored was brought to a vote and unanimously passed, Giffords was lauded by members of Congress, including both the majority and minority leaders who spoke in tribute to her strength and accomplishment in an unprecedented farewell ceremony. Her letter of resignation was read on her behalf by her close friend and fellow Democratic representative,
Debbie Wasserman Schultz. ==Post-congressional activities==