Any surgery, including hand sweating surgery, carries risk, and the manageability of that risk is determined by the surgeon’s complete understanding of the condition, the use of reasonable surgical protocols and procedures, and the proficiency with which he or she performs the surgery. The risk of surgery can be zero if directed by a minimally invasive surgeon. In early hand sweating, the branches of the sympathetic nerve chain need to be severed during surgery, and because they are normal tissue structures that perform important functions in the body, they can cause unexpected side effects if they are not removed properly during the treatment of the branches. Reasonable choice of surgical procedure, effective communication with the surgeon, and thorough understanding of the condition by the surgeon can reduce the risk of surgery and usually lead to satisfactory results after surgery.