At the classical level, two-dimensional dilaton gravity coupled to an abelian gauge field has charged black hole solutions, which have much in common with four-dimensional Reissner-Nordström black holes, including multiple asymptotic regions, timelike curvature singularities, and Cauchy horizons. The black hole spacetime is, however, significantly modified by quantum effects, which can be systematically studied in this two-dimensional context. In particular, the back-reaction on the geometry due to pair-creation of charged fermions destabilizes the inner horizon and replaces it with a spacelike curvature singularity. The semi-classical geometry has the same global topology as an electrically neutral black hole.PACS numbers: 04.60. Kz, 04.70.Dy, 97.60.Lf The maximally extended Reissner-Nordström geometry, describing a static electrically charged black hole, has intriguing global structure [1,2]. There are multiple asymptotic regions and Cauchy horizons associated with timelike singularities, which makes an initial value formulation problematic. Similar difficulties arise in the context of the Kerr spacetime of a rotating black hole. The physical relevance of much of the extended structure is questionable, however [3,4,5,6,7]. At the classical level, a dynamical instability, referred to as mass inflation, manifests itself when in-and outgoing energy fluxes cross near the inner horizon, replacing it by an initially null singularity which turns spacelike deep inside the black hole [8,9,10,11,12]. This null singularity is relatively weak, however, with finite integrated tidal effects acting on extended timelike observers [9], leaving open the possibility of extending the physical spacetime through it.It is natural to ask how this classical picture is modified by quantum effects. These include the pair-creation of charged particles by the Schwinger effect [13] in the background electric field of the charged black hole. In the Reissner-Nordström solution the electric field diverges as the curvature singularity is approached, leading to copious production of electron-positron pairs. At the quantum level, the black hole charge is screened and the singularity surrounded by a charged matter fluid. This fluid is a source of electric field and also modifies the black hole geometry. The combined electromagnetic and gravitational back-reaction can potentially alter the global structure of the spacetime [14,15]. The dynamical instability affecting the Cauchy horizon may also be enhanced by the production of charged pairs [16]. * Electronic address: afrolov@stanford.edu † Electronic address: kristk@hi.is ‡ Electronic address: lth@hi.isThe full back-reaction problem is non-trivial and to our knowledge the geometry has not been fully elucidated. On the basis of a simple model of static electrically charged black holes [15], it has been argued that the effect of pair-production on the interior geometry of a black hole can be quite dramatic, in some cases eliminating the Cauchy horizon altogether and rendering the singularity spa...