Julia Gardiner Tyler died in Richmond, Virginia, on July 10, 1889, after a stroke. She was staying at the Exchange Hotel, the same hotel where John Tyler had died twenty-seven years earlier. Her final years had been marked by financial difficulties, family responsibilities and efforts to maintain her position as the widow of a former president. A congressional pension eventually provided some support, but the record of those arrangements is fuller than the medical history of her final illness. The reported stroke establishes the broad nature of the fatal event without identifying its exact type, the treatment used or the duration of incapacity. It must also be distinguished from her husband's stroke in 1862 and from her mother's later illness, both of which appear in accounts of her family life. Julia's death was her own medical crisis in 1889, not a continuation of those earlier events. She was buried beside her husband in Hollywood Cemetery. That burial linked her memory with the presidency and the couple's later allegiance to the Confederacy, but it does not supply a private bedside narrative. The supported sequence is a stroke while staying in Richmond and death at sixty-nine, with the exact final hours much less securely documented than the place and date.