What is primary hand sweating? Primary hand sweating is caused by an overproduction of exocrine glands, resulting in abnormal palm sweating due to sympathetic hyperactivity during times of stress, excitement, pressure or summer heat. Although hand sweating does not affect health, it seriously affects the work, study and life of the patient. Hand sweat is not a problem for ordinary people, but for people with hand sweat disorder, it is a pain in the heart: when shaking hands with others, they are afraid of the other party’s strange eyes; when studying and working, they have to keep wiping their hand sweat; holding hands with lovers becomes taboo; many occupations that work with hands cannot be engaged in …… single pinhole method TV thoracoscopic surgery for primary hand sweating Using minimally invasive TV thoracoscopic surgery for primary hand sweating, a small incision of about 0.5 cm is made in each of the patient’s bilateral axillae, and under the precise guidance of a pediatric thoracoscope, the thoracic sympathetic nerve that causes hand sweating is accurately and quickly cut off in only 15 to 30 minutes using a TV monitoring system, thus completely relieving the root cause that triggers hand sweating. The sweating symptoms can be eliminated immediately after the operation and the patient can be discharged from the hospital after 2 to 3 days.