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In mathematics, specifically in geometric topology, **surgery theory** is a collection of techniques used to produce one finite-dimensional manifold from another in a 'controlled' way, introduced by John Milnor (1961). Milnor called this technique *surgery*, while Andrew Wallace called it **spherical modification**.^{[1]} The "surgery" on a differentiable manifold *M* of dimension , could be described as removing an imbedded sphere of dimension *p* from *M*.^{[2]} Originally developed for differentiable (or, smooth) manifolds, surgery techniques also apply to piecewise linear (PL-) and topological manifolds.

Surgery refers to cutting out parts of the manifold and replacing it with a part of another manifold, matching up along the cut or boundary. This is closely related to, but not identical with, handlebody decompositions.

More technically, the idea is to start with a well-understood manifold *M* and perform surgery on it to produce a manifold *M*′ having some desired property, in such a way that the effects on the homology, homotopy groups, or other invariants of the manifold are known. A relatively easy argument using Morse theory shows that a manifold can be obtained from another one by a sequence of spherical modifications if and only if those two belong to a same cobordism class.^{[1]}

The classification of exotic spheres by Michel Kervaire and Milnor (1963) led to the emergence of surgery theory as a major tool in high-dimensional topology.

If *X*, *Y* are manifolds with boundary, then the boundary of the product manifold is

The basic observation which justifies surgery is that the space can be understood either as the boundary of or as the boundary of . In symbols,

- ,

where is the *q*-dimensional disk, i.e., the set of points in that are at distance one-or-less from a given fixed point (the center of the disk); for example, then, is homeomorphic to the unit interval, while is a circle together with the points in its interior.

Now, given a manifold *M* of dimension and an embedding , define another *n*-dimensional manifold to be

One says that the manifold *M*′ is produced by a *surgery* cutting out and gluing in , or by a *p*-*surgery* if one wants to specify the number *p*. Strictly speaking, *M*′ is a manifold with corners, but there is a canonical way to smooth them out. Notice that the submanifold that was replaced in *M* was of the same dimension as *M* (it was of codimension 0).

Surgery is closely related to (but not the same as) handle attaching. Given an (*n* + 1)-manifold with boundary (*L*, ∂*L*) and an embedding : **S**^{p} × **D**^{q} → ∂*L*, where *n* = *p* + *q*, define another (*n* + 1)-manifold with boundary *L*′ by

The manifold *L*′ is obtained by "attaching a (*p* + 1)-handle", with ∂*L*′ obtained from ∂*L* by a *p*-surgery

A surgery on *M* not only produces a new manifold *M*′, but also a cobordism *W* between *M* and *M*′. The *trace* of the surgery is the cobordism (*W*; *M*, *M*′), with

the (*n* + 1)-dimensional manifold with boundary ∂*W* = *M* ∪ *M*′ obtained from the product *M* × *I* by attaching a (*p* + 1)-handle **D**^{p+1} × **D**^{q}.

Surgery is symmetric in the sense that the manifold *M* can be re-obtained from *M*′ by a (*q* − 1)-surgery, the trace of which coincides with the trace of the original surgery, up to orientation.

In most applications, the manifold *M* comes with additional geometric structure, such as a map to some reference space, or additional bundle data. One then wants the surgery process to endow *M*′ with the same kind of additional structure. For instance, a standard tool in surgery theory is surgery on normal maps: such a process changes a normal map to another normal map within the same bordism class.

**Surgery on the circle**As per the above definition, a surgery on the circle consists of cutting out a copy of

**S**^{0}×**D**^{1}and gluing in**D**^{1}×**S**^{0}. The pictures in Fig. 1 show that the result of doing this is either (i)**S**^{1}again, or (ii) two copies of**S**^{1}.**Surgery on the 2-sphere**In this case there are more possibilities, since we can start by cutting out either

**S**^{1}×**D**^{1}or**S**^{0}×**D**^{2}.**S**^{1}×**D**^{1}: If we remove a cylinder from the 2-sphere, we are left with two disks. We have to glue back in**S**^{0}×**D**^{2}– that is, two disks – and it is clear that the result of doing so is to give us two disjoint spheres. (Fig. 2a)**S**^{0}×**D**^{2}: Having cut out two disks**S**^{0}×**D**^{2}, we glue back in the cylinder**S**^{1}×**D**^{1}. There are two possible outcomes, depending on whether our gluing maps have the same or opposite orientation on the two boundary circles. If the orientations are the same (Fig. 2b), the resulting manifold is the torus**S**^{1}×**S**^{1}, but if they are different, we obtain the Klein Bottle (Fig. 2c).

**Surgery on the**If*n*-sphere*n*=*p*+*q*, then . The*p*-surgery on**S**^{n}is therefore . Examples 1 and 2 above were a special case of this.**Morse functions**Suppose that*f*is a Morse function on an (*n*+ 1)-dimensional manifold, and suppose that*c*is a critical value with exactly one critical point in its preimage. If the index of this critical point is*p*+ 1, then the level-set is obtained from by a*p*-surgery. The bordism can be identified with the trace of this surgery. Indeed, in some coordinate chart around the critical point, the function*f*is of the form , with , and*p*+*q*+ 1 =*n*+ 1. Fig. 3 shows, in this local chart, the manifold*M*in blue and the manifold*M*′ in red. The colored region between*M*and*M*′ corresponds to the bordism*W*. The picture shows that*W*is diffeomorphic to the union*M*×*I*is colored in yellow, and is colored in green. The manifold*M*′, being a boundary component of*W*, is therefore obtained from*M*by a*p*-surgery. Since every bordism between closed manifolds has a Morse function where different critical points have different critical values, this shows that any bordism can be decomposed into traces of surgeries (**handlebody decomposition**). In particular, every manifold*M*may be regarded as a bordism from the boundary ∂*M*(which may be empty) to the empty manifold, and so may be obtained from ∂*M*×*I*by attaching handles.

Intuitively, the process of surgery is the manifold analog of attaching a cell to a topological space, where the embedding *φ* takes the place of the attaching map. A simple attachment of a (*q* + 1)-cell to an *n*-manifold would destroy the manifold structure for dimension reasons, so it has to be thickened by crossing with another cell.

Up to homotopy, the process of surgery on an embedding φ: **S**^{p} × **D**^{q} → *M* can be described as the attaching of a (*p* + 1)-cell, giving the homotopy type of the trace, and the detaching of a *q*-cell to obtain *N*. The necessity of the detaching process can be understood as an effect of Poincaré duality.

In the same way as a cell can be attached to a space to kill an element in some homotopy group of the space, a *p*-surgery on a manifold *M* can often be used to kill an element . Two points are important however: Firstly, the element has to be representable by an embedding φ: **S**^{p} × **D**^{q} → *M* (which means embedding the corresponding sphere with a trivial normal bundle). For instance, it is not possible to perform surgery on an orientation-reversing loop. Secondly, the effect of the detaching process has to be considered, since it might also have an effect on the homotopy group under consideration. Roughly speaking, this second point is only important when *p* is at least of the order of half the dimension of *M*.

The origin and main application of surgery theory lies in the classification of manifolds of dimension greater than four. Loosely, the organizing questions of surgery theory are:

- Is
*X*a manifold? - Is
*f*a diffeomorphism?

More formally, one asks these questions *up to homotopy*:

- Does a space
*X*have the homotopy type of a smooth manifold of a given dimension? - Is a homotopy equivalence
*f*:*M*→*N*between two smooth manifolds homotopic to a diffeomorphism?

It turns out that the second ("uniqueness") question is a relative version of a question of the first ("existence") type; thus both questions can be treated with the same methods.

Note that surgery theory does *not* give a complete set of invariants to these questions. Instead, it is obstruction-theoretic: there is a primary obstruction, and a secondary obstruction called the surgery obstruction which is only defined if the primary obstruction vanishes, and which depends on the choice made in verifying that the primary obstruction vanishes.

In the classical approach, as developed by William Browder, Sergei Novikov, Dennis Sullivan and C. T. C. Wall, surgery is done on normal maps of degree one. Using surgery, the question "Is the normal map *f*: *M* → *X* of degree one cobordant to a homotopy equivalence?" can be translated (in dimensions greater than four) to an algebraic statement about some element in an L-group of the group ring . More precisely, the question has a positive answer if and only if the surgery obstruction is zero, where *n* is the dimension of *M*.

For example, consider the case where the dimension *n = 4k* is a multiple of four, and . It is known that is isomorphic to the integers ; under this isomorphism the surgery obstruction of *f* is proportional to the difference of the signatures of *X* and *M*. Hence a normal map of degree one is cobordant to a homotopy equivalence if and only if the signatures of domain and codomain agree.

Coming back to the "existence" question from above, we see that a space *X* has the homotopy type of a smooth manifold if and only if it receives a normal map of degree one whose surgery obstruction vanishes. This leads to a multi-step obstruction process: In order to speak of normal maps, *X* must satisfy an appropriate version of Poincaré duality which turns it into a Poincaré complex. Supposing that *X* is a Poincaré complex, the Pontryagin–Thom construction shows that a normal map of degree one to *X* exists if and only if the Spivak normal fibration of *X* has a reduction to a stable vector bundle. If normal maps of degree one to *X* exist, their bordism classes (called **normal invariants**) are classified by the set of homotopy classes . Each of these normal invariants has a surgery obstruction; *X* has the homotopy type of a smooth manifold if and only if one of these obstructions is zero. Stated differently, this means that there is a choice of normal invariant with zero image under the **surgery obstruction map**

The concept of structure set is the unifying framework for both questions of existence and uniqueness. Roughly speaking, the structure set of a space *X* consists of homotopy equivalences *M* → *X* from some manifold to *X*, where two maps are identified under a bordism-type relation. A necessary (but not in general sufficient) condition for the structure set of a space *X* to be non-empty is that *X* be an *n*-dimensional Poincaré complex, i.e. that the homology and cohomology groups be related by isomorphisms of an *n*-dimensional manifold, for some integer *n*. Depending on the precise definition and the category of manifolds (smooth, PL, or topological), there are various versions of structure sets. Since, by the s-cobordism theorem, certain bordisms between manifolds are isomorphic (in the respective category) to cylinders, the concept of structure set allows a classification even up to diffeomorphism.

The structure set and the surgery obstruction map are brought together in the surgery exact sequence. This sequence allows to determine the structure set of a Poincaré complex once the surgery obstruction map (and a relative version of it) are understood. In important cases, the smooth or topological structure set can be computed by means of the surgery exact sequence. Examples are the classification of exotic spheres, and the proofs of the Borel conjecture for negatively curved manifolds and manifolds with hyperbolic fundamental group.

In the topological category, the surgery exact sequence is the long exact sequence induced by a fibration sequence of spectra. This implies that all the sets involved in the sequence are in fact abelian groups. On the spectrum level, the surgery obstruction map is an assembly map whose fiber is the block structure space of the corresponding manifold.

- ^
^{a}^{b}Milnor 2007, p. 6. **^**Milnor 2007, p. 39.

- Milnor, John (2007).
*Collected Papers of John Milnor III Differential Topology*. AMS. ISBN 978-0-8218-4230-0. - Browder, William (1972),
*Surgery on simply-connected manifolds*, Berlin, New York: Springer-Verlag, MR 0358813 - Cappell, Sylvain; Ranicki, Andrew; Rosenberg, Jonathan, eds. (2000),
*Surveys on surgery theory. Vol. 1*(PDF), Annals of Mathematics Studies, vol. 145, Princeton University Press, ISBN 978-0-691-04938-0, MR 1746325 - Cappell, Sylvain; Ranicki, Andrew; Rosenberg, Jonathan, eds. (2001),
*Surveys on surgery theory. Vol. 2*(PDF), Annals of Mathematics Studies, vol. 149, Princeton University Press, ISBN 978-0-691-08815-0, MR 1818769 - Kervaire, Michel A.; Milnor, John W. (1963), "Groups of homotopy spheres: I",
*Annals of Mathematics*,**77**(3): 504–537, doi:10.2307/1970128, JSTOR 1970128, MR 0148075 - Milnor, John Willard (1961), "A procedure for killing homotopy groups of differentiable manifolds.",
*Proc. Sympos. Pure Math., Vol. III*, Providence, R.I.: American Mathematical Society, pp. 39–55, MR 0130696 - Milnor, John Willard (1965),
*Lectures on the h-cobordism theorem*, Notes by Laurent Siebenmann and Jonathan Sondow, Princeton University Press, MR 0190942 - Postnikov, Mikail M.; Rudyak, Yuli B. (2001) [1994], "Morse surgery",
*Encyclopedia of Mathematics*, EMS Press - Ranicki, Andrew (1980), "The algebraic theory of surgery. I. Foundations" (PDF),
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*Proceedings of the London Mathematical Society*,**40**(2): 193–283, doi:10.1112/plms/s3-40.2.193 - Ranicki, Andrew (2002),
*Algebraic and Geometric Surgery*, Oxford Mathematical Monographs, Clarendon Press, ISBN 978-0-19-850924-0, MR 2061749 - Wall, C. T. C. (1999) [1970], Ranicki, Andrew (ed.),
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- Surgery Theory for Amateurs
- Edinburgh Surgery Theory Study Group
- 2012 Oberwolfach Seminar on Surgery theory on the Manifold Atlas Project
- 2012 Regensburg Blockseminar on Surgery theory on the Manifold Atlas Project
- Jacob Lurie's 2011 Harvard surgery course Lecture notes
- Andrew Ranicki's homepage
- Shmuel Weinberger's homepage