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The idea is to stop the flow close to the singularity time and replace the regions with high curvature by more regular ones, dropping in fact the maximum curvature by a fixed factor. Simultaneously, one also removes the connected components of the hypersurface which are diffeomorphic to \\({\\mathbb{S}}^n\\) or \\({\\mathbb{S}}^{n-1} \\times {\\mathbb{S}}^1\\).  The main theorem shows that for an immersed smooth \\(2\\)-convex hypersurface of dimension three or greater, the mean curvature flow with surgery exists and terminates in a finite number of steps when the hypersurface is diffeomorphic to either \\({\\mathbb{S}}^n\\) or to a finite connected sum of \\({\\mathbb{S}}^{n-1} \\times {\\mathbb{S}}^1\\).   Very rigourously, the paper treats convexity estimates under surgery, the replacement of necks, geometric cylinders, by two spherical caps and a needed gradient estimate. 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