Thoracoscopic sympathectomy for hand sweating: Everyone has sweaty palms, which is a normal human reaction, but some people have a significant increase in hand sweating, even to the extent of sweat dripping, which is more serious when they are emotionally stressed and has a greater impact on the patient’s life and even psychologically. Hand sweating and general sweating should be identified as primary hand sweating or secondary to other systemic diseases such as hyperthyroidism, diabetes mellitus, hypoglycemia, toxicity, and excessive obesity. The treatment of hand sweating is divided into non-surgical treatment (oral medication, topical application, local multi-point injection of botulinum toxin, etc.) and surgical treatment. The general non-surgical treatment for hand sweating (for mild cases); 1. Avoid mental tension and emotional excitement. For those who have mental and emotional factors, glutamate, bromelain, diazepam, etc. can be used internally. 2, anticholinergic drugs such as atropine, belladonna, prudence, etc. taken internally, the efficacy is short and has side effects, rarely recommended. 3, local topical astringent drugs. 10% glutaraldehyde solution, 2%-4% formaldehyde solution. The axillary hyperhidrosis can be applied externally 20% ethanol solution of aluminum chloride, for 7 consecutive days palmoplantar hyperhidrosis patients can also be used 5% alum solution or compound copper sulfate solution soaked. 4, direct current and iontophoresis therapy. 5, botulinum toxin palm multi-point injection, longer duration, safer but eat a period of time after failure need to repeat. Surgical treatment methods for hand sweating: Previous open-chest surgical methods are rarely used at present. Minimally invasive thoracoscopic thoracic sympathectomy or clamping is the more recent and popular minimally invasive treatment for hand sweating for moderate to severe hand sweating. Because surgery is invasive and the damage to the nerve may be permanent, surgery is generally not recommended for mild hand sweating, except in special cases where non-surgical treatment is ineffective, affects the patient’s psychology and life, and the patient is fully informed of the consequences of surgery and strongly requests surgery. The patient’s sweaty palms can be soaked through a handkerchief. Possible complications of sympathectomy for hand sweating: The success rate of surgery is high and the overall chance of serious complications is very small. Special reminder: the surgery is invasive, please choose carefully under the guidance of your doctor.