Let $X$ be a connected compact smooth manifold. If $X$ is boundaryless, we can choose a Riemannian metric for $X$ so that $\pi_1(X)$ acts geometrically (ie. properly, cocompactly, isometries) on the universal cover $\tilde{X}$. Because it is know that a group acting geometrically on a simply connected geodesic space is finitely presented (see Bridson and Haefliger's book, Metric spaces of non-postive curvature), we deduce that $\pi_1(X)$ is itself finitely presented.
What happens when $X$ has a boundary?