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Worked solution: Perelman's Ricci flow with surgery (2002–2003), condensed

Step 9 of 9: Conclusion: reassembling M3≅S3M^3 \cong S^3
In plain words

Running the whole movie in reverse from the moment of extinction, every piece that was ever discarded by surgery turns out to be one of a short list of simple building blocks; gluing them back together along the cuts reconstructs the original manifold as a connected sum of these blocks.

The assumption π1(M3)=0\pi_1(M^3)=0 rules out every building block except the round 3-sphere, so the reconstructed connected sum can only be a sum of spheres — which is again just a sphere — completing the proof.

M3≅(#iS3/Γi) # (#j(S2×S1))  ⇒π1(M3)=0  M3≅S3M^3\cong\Big(\#_{i} S^3/\Gamma_i\Big)\,\#\,\Big(\#_{j}(S^2\times S^1)\Big)\ \ \xRightarrow{\pi_1(M^3)=0}\ \ M^3\cong S^3
The round sphere (shown in 2D analogy as S2S^2): after surgery and finite extinction, every piece of a simply connected closed M3M^3 is a 33-sphere summand
Three-dimensional rendering of a smooth round sphere with latitude and longitude grid lines, serving as the 2-dimensional analogy for the 3-sphere S^3 to which every simply connected closed 3-manifold is homeomorphic.
Detailed analysis

Working backwards from TextT_{\mathrm{ext}} through the finitely many surgeries, every discarded high-curvature piece is diffeomorphic to a spherical space form S3/ΓiS^3/\Gamma_i, to S2×S1S^2\times S^1, or to RP3 # RP3\mathbb{RP}^3\,\#\,\mathbb{RP}^3, and undoing the 22-sphere surgeries reassembles M3M^3 as a connected sum of such pieces.

When π1(M3)=0\pi_1(M^3)=0, the van Kampen theorem forces every Γi\Gamma_i to be trivial (otherwise π1\pi_1 would contain a nontrivial subgroup) and rules out any S2×S1S^2\times S^1 summand (which has infinite π1\pi_1), leaving a connected sum of copies of S3S^3.

A connected sum of round 3-spheres is diffeomorphic — and hence homeomorphic — to S3S^3, completing the proof that every simply connected closed 3-manifold is homeomorphic to S3S^3: the Poincaré conjecture.

Terms in this step
Spherical space form (S3/ΓS^3/\Gamma)
A manifold obtained as the quotient of the round 3-sphere by a finite group Γ\Gamma acting freely by isometries; it is trivial (equal to S3S^3 itself) exactly when Γ\Gamma is the trivial group.
Connected sum (#\#)
The operation of cutting a small ball out of each of two manifolds and gluing the resulting boundary spheres together; it is the topological operation that surgery keeps track of.
Knowledge used in this step