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In the process of attaching a 
-Handle to a Manifold 
, the Boundary of 
 is modified by a process
called 
-surgery.  Surgery consists of the removal of a Tubular Neighborhood of a 
-Sphere
 from the Boundaries of 
 and the 
 standard Sphere, and the gluing
together of these two scarred-up objects along their common Boundaries.
See also Boundary, Dehn Surgery, Handle, Manifold, Sphere, Tubular Neighborhood