This work concerns the diffeomorphism groups of 3-manifolds, in particular of elliptic 3-manifolds. These are the closed 3-manifolds that admit a Riemannian metric of constant positive curvature, now known to be exactly the closed 3-manifolds that have a finite fundamental group. The (Generalized) Smale Conjecture asserts that for any elliptic 3-manifold M, the inclusion from the isometry group of M to its diffeomorphism group is a homotopy equivalence. The original Smale Conjecture, for the 3-sphere, was proven by J. Cerf and A. Hatcher, and N. Ivanov proved the generalized conjecture for many of the elliptic 3-manifolds that contain a geometrically incompressible Klein bottle. The main results establish the Smale Conjecture for all ellipt...