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Use the meridian of a knot $\mu$ and Seifert longitude $\lambda$ of the unknot on its boundary torus. The unknot's knot exterior is a solid torus whose disk-bounding curve is $\lambda$. A genus-one Heegaard diagram is thereforeHere the horizontal coordinate is $\mu$ and the vertical coordinate is $\lambda$. The drawing uses a small translate of $\alpha$ to avoid intersections on the edge of the square; opposite edges are identified. The algebraic intersection number of curves on an oriented surface has absolute value five.

Starting with $\Sigma \times [0,1]$, attach a three-dimensional two-handle along $\alpha \times \{0\}$, using its surface framing, and cap the resulting sphere with a three-handle. This gives the solid torus on that side. Attach a two-handle along $\beta \times \{1\}$, again using the surface framing, and cap its sphere with a three-handle. The second solid torus has its disk-bounding curve identified with $5\mu +3\lambda$, so the resulting oriented lens space is precisely the specified $5/3$ Dehn filling.

The solid torus supplied by the $\alpha$ side has fundamental group generated by the image $x$ of $\mu$, while $\lambda$ is trivial. The $\beta$ two-handle imposes $x^5=1$. The three-handles do not change the fundamental group, so

Label the four crossings $A,B,C,D$ in top, left-middle, right-middle, bottom order. Label the bounded regions $d$ (left), $e$ (right), $a$ (upper middle), $b$ (central bigon), $c$ (lower middle), and the unbounded region $o$. The drawing preserves the crossings and the orientation of the supplied figure-eight knot diagram. Its overpassing strands are the outer-left/upper-right strand at $A$, the upper-left/lower-central strand at $B$, the upper-central/lower-right strand at $C$, and the lower-left/outer-right strand at $D$.

Here is the Dehn presentation Heegaard diagram specified by this drawing. Replace the underlying four-valent planar graph $G$ by a small three-dimensional regular neighborhood $N(G)$ and put $\Sigma =\partial N(G)$. Since $G$ has four vertices and eight edges, $\Sigma$ has genus $8-4+1=5$. On $\Sigma$, take the five $\alpha$ curves bordering the bounded faces, pushed slightly onto the boundary of $N(G)$. They bound a complete disk system in the complementary handlebody $S^3\setminus \mathrm{int}N(G)$; their labels are ${\alpha }_d,{\alpha }_e,{\alpha }_a,{\alpha }_b,{\alpha }_c$.

The four $\beta$ curves bound the disks dual to the four short crossing tunnels in $N(G)\setminus \mathrm{int}\nu K_8$. Lift the crossing circles shown in red onto the upper and lower sheets of $\Sigma$, routing them along the corresponding face boundaries; the crossing's overpassing strand determines the lift. Orient the $\alpha$ disk normals and the $\beta$ curves so that their signed successive intersections with the $\alpha$ curves areAt $A,D$ the missing fourth corner is the unbounded region $o$, whose generator is omitted. This sheet-lifting prescription, together with the projected graph, specifies the curves on the Heegaard surface; the red circles alone are only their local projections.

To recover the knot exterior from $\Sigma \times I$, attach five two-handles along the $\alpha$ curves on one side and cap the resulting sphere with a three-handle. On the other side attach four two-handles along the $\beta$ curves. Compressing that side leaves the boundary torus of the knot exterior, which is retained. In particular, the counts are five $\alpha$ compressions and four $\beta$ compressions, rather than two complete genus-five disk systems.