Elected in March 2013 at the age of 76, Francis was then reported to be healthy despite having suffered from chronic lung damage, due in part to the lung excision he had as a young man. His doctors had said the lung tissue removed then would not significantly affect his health. The only concern would be decreased respiratory reserve if he had a respiratory infection. In the 2020s he was prone to bouts of influenza and bronchitis in the winter. Knee problems and sciatica had prompted him to frequently use a wheelchair, walker, or cane.[8]
In 2021 Francis' health problems prompted rumours that he might resign,[9] which Francis dismissed.[10] In June 2022, after undergoing treatment to his knee, Francis cancelled planned trips to the Democratic Republic of the Congo and South Sudan.[11] In an interview with Reuters that month, Francis said that he had not considered resigning but would do so if his health made it impossible for him to run the Church.[12] During his trip to the Democratic Republic of the Congo in February 2023, Francis said that resignation was "not in his agenda at the moment".[13]
In March 2023 Francis was hospitalized in Rome with a respiratory infection.[14] He returned to celebrate the Easter Vigil Mass on Holy Saturday, in April.[15] In June Francis underwent abdominal surgery after suffering from a hernia.[16] Francis had publicly used a wheelchair since 2022, initially due to persistent knee pain which required an operation.[17][18] He acknowledged that his recurring mobility problems had precipitated the beginning of what Reuters termed "a new, slower phase of his papacy",[19] although he was praised by disabled Catholics for making his "disability part of his visible identity".[20]
Pope Francis on 20 April 2025, many hours before his death
On 14 February, 2025, Francis entered Gemelli Hospital in Rome due to bronchitis.[21] His hospital stay was extended due to a polymicrobial infection of his respiratory tract and bilateral pneumonia.[22][23][24]Vatican News described his condition as critical and reported that he was given blood transfusions and high-flow oxygen.[25][26] On 23 February it was announced that Francis had early-stage kidney failure, though his condition remained "under control".[27][28] On 26 February he showed slight improvement,[29] but two days later suffered a bronchial spasm, causing him to inhale vomit and require non-invasive mechanical ventilation, with the Vatican stating that his prognosis remained guarded.[30][31] On 3 March, it was reported that he had been removed from mechanical ventilation and was recovering.[32][33] The Vatican disclosed that Francis had suffered two episodes of "acute respiratory insufficiency".[34] After this episode, the third major downturn in the Pope's condition,[35] mechanical ventilation was resumed that afternoon.[36]
On 19 March it was reported that Francis was no longer using mechanical ventilation at night, with his doctors stating that his lung infection was under control, although not eliminated.[37] He was discharged from hospital on 23 March,[38] immediately after blessing a crowd from his balcony; he was expected to spend at least two months recuperating at his home in Domus Sanctae Marthae in Vatican City,[39] maintaining a reduced work schedule.[40][41] He appeared in public for the first time since the hospitalization on 6 April.[42]
On 20 April, a day before his death and coinciding with Easter Sunday, Francis delegated the traditional Easter Mass to Cardinal Angelo Comastri, but made a surprise public appearance to bless audiences at Saint Peter's Square,[43] shortly after having met with United States Vice President JD Vance[44][45] to exchange Easter greetings. Francis had previously criticized the Trump administration's migrant deportation plans, while Vance had strongly defended and supported them.[46]
On 21 April 2025 Cardinal Kevin Farrell, the Camerlengo of the Holy Roman Church, read an announcement that was also broadcast on Vatican Media stating that Francis had died at the age of 88 at 07:35 CEST in the Vatican City.[47] Farrell's announcement was read from the chapel of the papal residence at Domus Sanctae Marthae.[48] The exact circumstances of his death are currently unknown, although Italian sources unofficially reported that the death was caused by a brain-related issue, likely a stroke.[49][50]
According to Church law, the 2025 papal conclave is expected to begin between 6 and 11 May 2025[citation needed], roughly 15 to 20 days after the papacy became vacant, but may begin earlier if all cardinal electors have arrived in Rome, as specified in Pope Benedict XVI's Normas Nonnullas of 26 February 2013.[51]
Proceedings will begin with the highest-ranking cardinal in the Vatican's administration, Kevin Farrell, presiding over the "rite of the confirmation of death" and placing the pope's body in a coffin. A papal funeral has traditionally been an elaborate affair, but Francis approved plans to simplify the procedure. He opted for a basic wooden coffin, and scrapped the tradition of placing the Pope's body on a raised platform for public viewing. Instead, mourners will be invited to pay their respects while his body remains inside the coffin, with the lid removed. According to his wishes, Francis will be buried in the Basilica of St. Mary Major in Rome, making him the first pope to be interred outside the Vatican since Pope Leo XIII in 1903.[2]