A file photo of Simone Biles. (Source: @FloGymnastics) Photograph:( Twitter )
Biles took more than a year off after winning four gold medals, including the all-around, at the 2016 Rio Olympics.
Simone Biles created history by becoming the first woman to win four all-around titles at the World Championships ahead of Japan's Mai Murakami, and US teammate Morgan Hurd.
Despite errors on beam and vault, Biles further cements herself as the greatest of all time. She finished with 57.491 points in Doha to add to the titles she won in 2013, 2014 and 2015.
Her participation was in doubt as she was admitted to hospital with a kidney stone on the eve of the tournament.
Historic podium! Biles 🇺🇸 makes history as first female to win 4⃣ World All-around 🥇🥇🥇🥇 Murakami 🇯🇵 record result as first JPN woman to win AA 🥈Hurd 🇺🇸wins 🥉!— FIG (@gymnastics) November 1, 2018
Results 👉 https://t.co/Rj8MU7CgJO #GoGymtastic #Gymnastics #DohaGym2018 🇶🇦 pic.twitter.com/01lgJokIOc
2018 World Championships All-Around Final Results— FloGymnastics (@FloGymnastics) November 1, 2018
1. Simone Biles USA 57.491🥇
2. Mai Murakami JPN 55.798 🥈
3. Morgan Hurd USA 55.732 🥉
4. Nina Derwael BEL 55.699
5. Angelina Melnikova RUS 55.698
6. Melanie De Jesus Dos Santos 55.599
7. Chen Yile CHN 54.632#DohaGym2018 pic.twitter.com/GoBsYi2HyE
"This one has probably been the hardest to get out of all my world championships and Olympic medals, and the scariest one," Biles said.
"It’s exciting to bring back a gold medal for the US, but for me it’s a bit disappointing because that’s not the performance I would hope to give."
The 21-year-old took more than a year off after winning four gold medals, including the all-around, at the 2016 Rio Olympics.
"I think I gave everyone out there a heart attack, but it is what it is," she said of her mistakes.
"Even the best fall sometimes, but I’m excited that I pulled it out at the end. I was definitely shocked."