For the most severe, treatment-resistant cases, ETS surgery offers a permanent solution. This is a minimally invasive procedure performed under general anesthesia. The surgeon inserts a small camera and instruments into the chest cavity to cut, clamp, or remove portions of the sympathetic nerve chain, which controls sweating in specific regions.

Areas Treated:
ETS is most commonly used for palmar hyperhidrosis (excessive hand sweating), but it can also help with severe underarm or facial sweating.

Results:
ETS is typically highly effective for the targeted area, providing permanent results.

Advantages:

• Permanent elimination of sweating in treated areas

• High success rates for hands and underarms

Limitations:

• Surgical risks such as infection, nerve injury, or anesthesia complications

• Compensatory sweating — increased sweating in other untreated areas of the body

• Irreversible in most cases

Best Suited For:
Patients with debilitating, treatment-resistant hyperhidrosis willing to accept surgical risks.