The nineteenth century saw the development of Geometry in 2 dimensions from the pioneering work of Abel and Riemann to its full flowering in the hands of Klein and Poincare. The first half of the twentieth century moved geometry into higher dimensions, with the emphasis on topology initiated by Poincare and developed by Lefschetz and Hodge. Towards the end of the century interest focused on the lower dimensions of 3 and 4, stimulated in great part by ideas from physics. The great achievement of Perelman, following on from the Thurston programme, closes a chapter in dimension 3 with the affirmative answer to the fundamental problem identified by Poincare. But there is still much to learn in 3 dimensions in the connections with quantum physics which have been unearthed. There is even more to challenge us in 4 dimensions emerging from the great discoveries of Donaldson. The role of Topology and the links with physics have yet to be fully explored and understood. I will attempt to provide a general survey putting Perelman's work in perspective and focusing on the future as well as the past.