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Attach two one-handles to a four-dimensional zero-handle, then a two-handle along the commutator of their generators with the product zero framing. The result is $T^2\times D^2$. Its spine is the usual cell structure of the torus: one vertex, two one-cells, and a two-cell attached by $xy{x}^{-1}{y}^{-1}$. An embedded representative of its $H_2$ generator is obtained by taking a once-punctured torus carried by the two one-handles and capping its boundary by the core disk of the two-handle. It meets the relative co-core once and has self-intersection zero. The boundary is $T^3$, whose integral homology has ranks $1,3,3,1$.

A generalized Heegaard diagram permits compression bodies and a nonempty negative boundary. Equivalently, a suitable handlebody with two-handles attached along only part of a compressing system can retain torus boundary components. Disk crossings supply generators and attaching-curve words supply relators for its fundamental group.

A Heegaard diagram marks the boundaries of compressing disks from the two sides of a Heegaard surface. Attaching two-handles along the two collections, and capping resulting spherical boundary components, reconstructs the three-manifold.

An index-$\lambda$ handle in dimension $d$ is $D^{\lambda }\times D^{d-\lambda }$. A handle attachment glues its attaching region $S^{\lambda -1}\times D^{d-\lambda }$ to a corresponding neighborhood in the boundary of the preceding manifold with boundary. Besides the embedding of the attaching sphere, one specifies a framing of an embedded sphere, namely the normal-disk directions used in this gluing. Corners are then smoothed.

In dimension four, a two-handle is $D^2\times D^2$ and attaches along $S^1\times D^2$. Its attaching circle is a knot in the boundary of the zero-handle $D^4$. Identify that boundary with $S^3$ and remove a point away from the circles to draw them in ${\mathbb{R}}^3$. Disjoint attaching circles give a framed link. Each integer records the twist of its normal framing relative to the zero Seifert framing; the integer is also the linking number of the circle and its framed push-off. The resulting boundary change is Dehn surgery on a framed link. This is the two-handle part of a Kirby diagram.

For $S^2\times S^2$, use the following explicit handle decomposition. Write each factor as two disks, $S^2=D_{-}^2\cup D_{+}^2$, glued along their boundary circles. The four product pieces giveThe first is a four-dimensional zero-handle after rounding its corners. Its boundary is the union of the solid tori $S^1\times D^2$ and $D^2\times S^1$. The two middle product pieces attach along these tori. Their attaching circles $S^1\times \{0\}$ and $\{0\}\times S^1$ form the standard Hopf link, with linking number one after choosing orientations.

Both framings are zero. For example, the normal disk of $S^1\times \{0\}$ is the second disk factor. Its constant normal push-off has linking number zero with the original circle: the circle bounds $D^2\times \{0\}$ in the four-ball, and a parallel push-off bounds a disjoint translated disk. Thus the framed self-intersection is zero; the same argument applies with the factors interchanged. These product framings are the zero Seifert framings.

After these two two-handles, the remaining product piece $D_{+}^2\times D_{+}^2$ is a four-ball. Its boundary is exactly the boundary of the assembled first three pieces, so it attaches as a four-handle. Equivalently, zero surgery on the Hopf link gives $S^3$, which this handle caps. We have therefore constructed the actual product, provingThere are no one- or three-handles. As a check, the two factor spheres have self-intersection zero and meet once, giving the intersection form $\left(\begin{array}{cc}0& 1\\ 1& 0\end{array}\right)$. The explicit product construction, rather than the intersection form alone, identifies the smooth four-manifold. This is the zero-framed Hopf-link handle decomposition of the sphere product.

The smooth h-cobordism theorem states: if $(W;M_0,M_1)$ is a compact smooth h-cobordism, $\dim W\ge 6$, and its connected boundary manifolds are simply connected, then there is a diffeomorphism $W\cong M_0\times [0,1]$ restricting to the prescribed identification on $M_0$. In particular $M_0$ and $M_1$ are diffeomorphic. Being an h-cobordism means that both inclusions $M_i\hookrightarrow W$ are homotopy equivalences; their fundamental groups then also identify with that of $W$.

The homotopy-equivalence condition is necessary for a trivial cobordism: each end of a cylinder is a deformation retract, by $(x,t)\mapsto (x,(1-s)t)$ for the incoming end and $(x,t)\mapsto (x,(1-s)t+s)$ for the outgoing end. Its relative homology with respect to either end is consequently zero. Compactness is also necessary for a product with a closed compact end. The dimensional bound and simple connectivity are not necessary for an individual cobordism to be a product. The cylinder $S^2\times [0,1]$ is a simply connected trivial cobordism of dimension three; and, in the theorem's dimension range, $(S^1\times S^4)\times [0,1]$ is a six-dimensional trivial cobordism with fundamental group $\mathbb{Z}$. These prove the two non-necessity assertions explicitly, while the inclusion argument proves necessity of the h-condition.

For the remaining claims, use a cobordism Morse function: its two regular boundary levels are zero and one, and all critical points are interior. An arbitrary function with unrelated boundary values would not have the relative handle-count property. The relative Morse chain complex for $(W,M_0)$ has one generator per critical point, in its Morse index. ThusA trivial cobordism has zero relative homology, hence zero relative Euler characteristic. Modulo two the displayed sum is the number of critical points. An odd number makes it odd, and therefore nonzero. This proves an odd-critical-point cobordism is not trivial.

With precisely two critical points of indices $\lambda \le \mu$, a trivial cobordism requires the two-generator relative complex to be acyclic over $\mathbb{Z}$. Equal indices leave a rank-two homology group; a gap of more than one leaves both generators with zero possible differential. Therefore $\mu =\lambda +1$ is necessary. The remaining two-term complex isChoose a transverse gradient-like vector field. A nonzero differential requires the index-$\mu$ point to be above the index-$\lambda$ point; otherwise no descending connecting trajectories exist. In a common regular level between them, the belt sphere $S_U(p)$ has dimension $d-\lambda -1$, and the attaching sphere $S_L(q)$ has dimension $\mu -1=\lambda$, where $d=\dim W$. Their dimensions add to $d-1$, the level's dimension, so their transverse intersection consists of points. Each intersection is one descending trajectory from $q$ to $p$, modulo time translation. Orient the attaching sphere and use an orientation of a vector space on the handle core to coorient the belt sphere; the resulting signed count is the cellular boundary coefficientThe two homology groups are the kernel and cokernel of multiplication by $a$. They vanish precisely when $a$ is a unit of $\mathbb{Z}$. Consequentlyare necessary. This proves the two-critical-point obstruction to a trivial cobordism; it makes an algebraic incidence statement and does not assume that an algebraic count of one automatically supplies geometric handle cancellation.

For an explicit nontrivial cobordism from $S^3$ to itself, attach two zero-framed two-handles to the outgoing end of $S^3\times [0,1]$ along the standard Hopf link. Its two components are unknots with linking number one. This realizes two successive $(2,2)$ surgeries, as suggested by the hint. The outgoing boundary is again $S^3$, and this can be checked geometrically: the Hopf-link exterior is $T^2\times [0,1]$, and each component's zero-framing longitude is the other's meridian. Filling along these two slopes glues two solid tori with meridians intersecting once, the standard genus-one Heegaard decomposition of $S^3$. Thus zero surgery on the Hopf link does return the three-sphere, not just an unspecified homology sphere.

The trace has only the two added index-two handles. Its relative cellular complex has $C_2(W,S^3)={\mathbb{Z}}^2$ and all other groups zero, soIt cannot be a product cylinder. Equivalently this trace is $S^2\times S^2$ with two disjoint open four-balls removed: the usual handle presentation of $S^2\times S^2$ has one zero-handle, the two zero-framed Hopf-linked two-handles, and one four-handle. Removing the bottom and top balls exposes the two three-sphere ends. The relative-homology calculation alone already proves the requested cobordism is nontrivial.

Start with a disk in the zero-handle and attach two untwisted bands passing through the two one-handles. The four passages around its boundary occur in the order $x,y,x^{-1},y^{-1}$, giving an embedded once-punctured torus whose boundary is the attaching circle of the two-handle. Push its interior into the existing four-dimensional handlebody, keeping its boundary on the attaching locus, and cap it with the core disk of a handle. The matching product framing makes the union smooth after rounding its corner. This gives an embedded closed torus $T\subset W$.

The torus uses the core of the two-handle exactly once. Equivalently, it intersects that handle's relative co-core disk transversely in one point. Its cellular two-chain is therefore the generator of $C_2=\mathbb{Z}$, which is a cycle and is not a boundary because there are no three-cells. ThusThis is the zero section in the commutator handlebody of the torus $T^2\times D^2$.

There are no one-handles, so attaching the three two-handles to a four-ball cannot create a fundamental group generator: ${\pi }_1(W)=1$. The handle chain complex has $C_2={\mathbb{Z}}^3$, $C_1=0$ and $C_0=\mathbb{Z}$, givingTo calculate the boundary, orient the two long components down their central strands, and orient the small component clockwise. The six mutual crossings of the long components have negative sign, giving linking number $-3$. Each long component has two positive crossings with the small component, giving linking number $1$. The surgery linking matrix, in the order of framings $4,3,2$, is consequentlyChanging a component orientation changes the corresponding row and column signs, and does not change the resulting homology. The long exact sequence of a pair and Poincare-Lefschetz duality identify $H_2(\partial W)=\ker Q$ and $H_1(\partial W)=\mathrm{coker}Q$. The determinant is nonzero, so the kernel vanishes. The gcd of matrix entries is one; the two-by-two minors include $-6$ and $7$, so their gcd is also one. The Smith normal form therefore has diagonal $1,1,7$, andIn particular the sign of the braid crossings matters: replacing $-3$ by $+3$ while leaving both meridian linkings positive would represent a different link and would give the wrong determinant.

Use the boundary-orientation convention in which $-p/q$ surgery on the unknot gives $L(p,q)$. The negative continued fraction isAttach three two-handles to a zero-handle along a chain of unknots, with adjacent linking numbers $+1$ and framings $-3,-2,-2$. Equivalently, take the plumbing of oriented disk bundles over three spheres with Euler numbers $-3,-2,-2$. Successive slam-dunk moves change the boundary surgery coefficient to $-3-1/(-2-1/(-2))=-7/3$, proving that its oriented boundary is $L(7,3)$ in this convention.

The zero sections are a basis of second homology, and the intersection form isIts successive leading principal minors are $-3,5,-7$. Equivalently those of $-Q$ are $3,5,7>0$, so Sylvester's criterion proves that $Q$ is negative definite. This explicitly constructs the required filling.

If lens spaces are instead labeled by positive surgery with its boundary orientation, use the chain with framings $-2,-4$, whose coefficient is $-7/4$; its boundary is orientation-preservingly the positive-surgery $L(7,3)$, since orientation reversal changes $q=4$ to $q=3$. Its negative-definite form is $\left(\begin{array}{cc}-2& 1\\ 1& -4\end{array}\right)$. This is only a convention change in the named boundary, and specifies a valid filling in either labeling system.

A Heegaard splitting of a closed oriented three-manifold is a decomposition $Y=H_0{\cup }_{\Sigma }{H}_1$ into two handlebodies, with their common boundary the Heegaard surface $\Sigma$. With boundary present, the corresponding pieces are compression bodies, whose negative boundaries account for $\partial Y$.

For the given triangulation, take the barycentric subdivision. A regular neighbourhood $H_0$ of the original one-skeleton is a handlebody: thicken vertices to balls and edges to one-handles, then contract a spanning tree. The complementary region is a regular neighbourhood $H_1$ of the dual one-skeleton, whose vertices are tetrahedron centres and whose edges cross triangular faces. It too is a handlebody. Both graphs are connected, and their common boundary supplies the Heegaard splitting. If the original triangulation has $v$ vertices and $e$ edges, its Heegaard surface has genus $e-v+1$; the dual count gives the same number by $v-e+f-t=0$.

Choose an oriented meridian of a knot $\mu$ and the Seifert longitude $\lambda$ supplied by a Seifert surface for the null-homologous knot. For relatively prime integers $p,q$, rational Dehn surgery removes the interior of a tubular neighborhood and attaches a solid torus with its meridian of a solid torus on the unoriented slope $p\mu +q\lambda$. The choices $(p,q)$ and $(-p,-q)$ describe the same slope; $q=0$ is the original meridional filling. The boundary gluing reverses boundary orientation so that the oriented three-manifold extends across the filling.

For integral coefficients $n_i$, attach two-handles to $B^4$ along the components of the framed link, with their indicated Seifert framing shifts. The boundary operation removes $S^1\times D^2$ and inserts $D^2\times S^1$, with meridian $n_i{\mu }_i+{\lambda }_i$. Thus the compact oriented surgery trace satisfiesFor a finite rational coefficient, use a negative continued fractionReplace that component by an integrally framed chain of successive meridians with coefficients $a_0,\dots ,a_k$. Repeated slam-dunk moves give back $p/q$. Perform this replacement for every rationally framed component, leaving meridional fillings out. The resulting integral framed link has the same filled boundary, so its surgery trace proves that every such rational filling bounds a compact oriented four-manifold.

Interpret the paired $A,B,C$ disks as the three one-handles of a genus-three handlebody. Attach two-handles on the two displayed $\beta$ curves. Orient the three disk-crossing generators as $a,b,c$. Reading the signed crossings, starting at the upper-left portion of each attaching curve and changing the start point when needed, givesThe first says $abc=bca$ and the second $abc=cab$. Thus the fundamental group presentation isHere $[u,v]=uv{u}^{-1}{v}^{-1}$. Cyclically changing the starting point, reversing an attaching curve, or changing generator orientations gives equivalent presentations. With $h=abc$, these relations make $h$ central; eliminating $c=b^{-1}{a}^{-1}h$ givesFor the topological identification, thicken the diagram's two nested bands and identify the three paired disk mouths. The complement of those bands is the product region of a pair of pants with a circle; its two compressing curves are exactly $[a,bc]$ and $[ab,c]$. Equivalently, the standard cell decomposition of this product has three one-handles and the two commuting two-handle attachments shown. Thus this is a generalized Heegaard diagram of $P\times S^1$.

The Hopf fibration of $S^3$ has three disjoint regular fibers whose removal leaves $P\times S^1$. Its three fibers are the components of the torus link $T_{3,3}$, as is also apparent from the full three-strand twist in the later link diagram. This identifies $Y$ with that link exterior, using the diagram and product structure rather than just its fundamental group. In particular it is a link exterior in the three-sphere.

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.

A surface framing pushes a curve in the direction tangent to an oriented topological surface containing it and normal to the curve. For a two-handle attached along a curve on a boundary topological surface, this specifies the attaching annulus.

Write each sphere as two disks, $S^2=D_{-}^2\cup D_{+}^2$. In their product, $D_{-}^2\times D_{-}^2$ is a zero-handle; $D_{+}^2\times D_{-}^2$ and $D_{-}^2\times D_{+}^2$ are two-handles. Their attaching circles are the core circles of the complementary solid tori in $\partial (D^2\times D^2)$, hence a Hopf link. Constant normal directions from the disk factors give both components the zero Seifert framing. The remaining $D_{+}^2\times D_{+}^2$ is a four-handle. This product construction establishes the actual diffeomorphism type, rather than relying on its intersection form alone. The resulting intersection matrix is $\left(\begin{array}{cc}0& 1\\ 1& 0\end{array}\right)$.

A zero-handle in an $n$-dimensional handle decomposition is $D^0\times D^n=D^n$. Its attaching region is empty, so it starts a connected component of the manifold. In dimension four it is a four-ball; adding one-handles and two-handles gives a four-dimensional handlebody with a two-dimensional CW spine.