Cutter by Thomas Laird

"A serial killer holds a city in the grip of terror in a hard-boiled, gritty novel of crime in Chicago." "He's a cutter. He accosts unsuspecting young women, he overwhelms them with a pad of ether. Then he kills them. And eviscerates the corpses, neatly, professionally. The crime scenes he leaves behind are not pretty." "This crime novel sets Jimmy Parisi of Chicago Homicide, a strictly no-nonsense kind of Italian cop, on the gory trail of an elusive but very efficient (and alarmingly active) killer. The bodies are beginning to pile up. The killer is so rapidly harvesting a crop of female organs, in fact, that the cops in Parisi's department are calling him "the Farmer."" "Employing criminal profiling techniques, Parisi narrows his list of possible perpetrators to three - and then just one. And the more involved Parisi becomes in the case, the more he fears that he is not dealing simply with a rapist-killer out to satisfy his psychopathic itch but rather with a depraved entrepreneur in the business of supplying fresh organs to the medical black markets of Europe and Asia. What's more, he strongly suspects that Mafia agents are acting as the Farmer's brokers." Parisi begins to zero in on his quarry, and the path he follows leads him ultimately to a confrontation as unforgettable as it is shocking. For Parisi finds himself in not only his own neighborhood but his own backyard, where the Farmer has set his sights on a beautiful young redhead - Jimmy Parisi's wife.
 
- Goodreads Summary