This happened once under Reagan and twice under Bush 43 when they got colonoscopies. Section 4 (cabinet and Pence hold a vote to make him acting President) would likely be invoked if Trump could not invoke Section 3. Surprisingly, neither sections 3 or 4 were invoked when Reagan was shot and underwent surgery and general anesthesia even though they should have been. If Pence were to become incapacitated, Nancy Pelosi would become acting President. If Pelosi is incapacitated, Chuck Grassley (President Pro Tempore of the Senate) becomes acting President. The same procedure applies if any of these individuals were to die.
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Where it gets interesting is if something were to happen to Biden. If Biden dies before the election, the DNC would choose their presidential candidate. They can choose whoever they want but they would likely choose Harris. If Biden wins the election and dies between the election and the meeting of the electoral college, the same process happens. Only the electoral college votes for the new president and they could vote technically for whoever they want. If Biden dies after the electoral college meets and BEFORE Congress counts the votes, there is a possible Constitutional Crisis depending on interpretations.