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We prove that the pretzel knot is the only hyperbolic knot of genus at most with a lens space surgery. Our key technical result asserts that if a genus- hyperbolic knot has an elliptic surgery of slope greater than , then the invariant foliations of its monodromy have an orientation that is reversed by the monodromy, and so the opposite of the dilatation must be a root of the Alexander polynomial of . Combined with prior work of Moser, Wu, Bleiler–Litherland, Baker, and Greene, this verifies the Berge conjecture for knots of genus at most .

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