In life you will find that there is such a group of people, their hands in winter as long as to the coat pocket, often sweat like a spring. The summer is even worse, every day hands are wet, and armpit sweat and foot sweat is also very serious. These are the people who suffer from hand sweating. Hand sweating is not a serious disease, but this abnormal sweating brings a lot of inconvenience to work, social life and life. The incidence of hyperhidrosis in China is currently 1 to 3 percent, mostly among teenagers, and the proportion of men and women is similar. Chen Gang, director of thoracic surgery at Guangdong Provincial People’s Hospital, said that hand sweating is a disease caused by excessive secretion of sweat glands due to sympathetic overexcitation.” The sympathetic nerve governs sweating throughout the body, but the sweating of patients with hand sweating completely loses its normal control, often from a very young age, hand sweating is severe, along with the presence of armpit sweating and foot sweating, and in severe cases the fingers are like dripping water, while the long-term wet hands often cause easy peeling. He also stressed that adolescents of school age often have their exams affected by excessive hand sweat that gets their exam papers wet, which makes it extremely easy for them to develop low self-esteem. ”The causes of hand sweating are divided into two main types: primary hyperhidrosis and secondary hyperhidrosis.” Director Chen pointed out that primary hyperhidrosis is mainly caused by sympathetic nerves, which patients are prone to trigger when they are emotionally excited, and secondary hyperhidrosis is mainly due to other causes such as hyperthyroidism. And surgical treatment is mainly for hand sweating caused by primary hyperhidrosis. At present, thoracoscopic bilateral sympathectomy is the first choice for the treatment of this disorder, and the methods include cauterization, cutting, and clamping. The clinical method of “cutting” is mostly used. Patients before the age of 16 should not be treated surgically Patients with moderate or severe disease before the age of 16, between 12 and 50 years old, who are not accompanied by significant sweating and are in good health without other comorbidities, can be considered for surgery, and the best treatment effect is before the age of 25. However, Director Chen emphasized that some moderate and severe patients are best not to consider surgery right away until they are 16 years old.” Because it is so young and the excessive sweating symptoms are likely to slow down with age. We don’t usually recommend surgical treatment for minors, and I would rather suggest that he observe for a period of time before considering the need for surgery. “Also, if the patient has severe pleural adhesions, bradycardia (less than 50 beats) or neuroticism, Director Chen does not recommend surgery to improve the condition in these people. At present, the Guangdong Provincial People’s Hospital has launched a 24-hour weekend access service for minimally invasive surgery to treat hand sweating. According to Director Chen Gang, the procedure can be completed within 24 hours on Saturdays and Sundays, including admission, preoperative examination, waiting for surgery, surgical treatment, postoperative observation and discharge from the hospital, which mainly takes into account elites who are busy at work and students who are studying intensively. The minimally invasive procedure is performed mainly under a televised thoracoscope, where the surgeon makes a small incision less than 0 .3 cm in diameter under the patient’s armpit, inserts a needle-shaped thoracoscope, locates the sympathetic nerve that controls hand sweating and fries it off. Generally the procedure can be completed in 30 minutes with little trauma, quick recovery, no sutures, and the patient can be discharged after one day with a normal postoperative physical examination. The technique, therefore, greatly alleviates the real problems of patients who are too shy to take time off from work due to illness and lack of time for treatment. Dr. Zhou Haiyu suggested that the surgery can be completed within 24 hours on Saturday and Sunday for admission, preoperative examination, waiting for surgery, surgical treatment, postoperative observation and discharge, and this is mainly considering elites who are busy at work and students who are studying intensively. The minimally invasive procedure is performed mainly under a televised thoracoscope, where the surgeon makes a small incision less than 0 .3 cm in diameter under the patient’s armpit, inserts a needle-shaped thoracoscope, locates the sympathetic nerve that controls hand sweating and fries it off. Generally the procedure can be completed within 30 minutes with minimal trauma, quick recovery, no sutures, and the patient can be discharged after one day with a normal postoperative physical examination. Therefore, it greatly alleviates the real problems of patients who are too shy to take time off work due to illness and lack of time for treatment. The cost of surgery is about 6,500 yuan for local anesthesia and 8,500 yuan for general anesthesia.