*preprint*

**Inserted:** 13 nov 2020

**Year:** 2018

**Abstract:**

In this article, we extend the mean curvature flow with surgery to mean convex hypersurfaces with entropy less than $\Lambda_{n-2}$. In particular, 2-convexity is not assumed. Next we show the surgery flow with just the initial convexity assumption $H - \frac{\langle x, \nu \rangle}{2} > 0$ is possible and as an application we use the surgery flow to show that smooth $n$-dimensional closed self shrinkers with entropy less than $\Lambda_{n-2}$ are isotopic to the round $n$-sphere.