Some patients report less hand sweating after surgery, but sweating in other areas, why? This is a side effect of the surgery, “compensatory sweating”, which means that after the hand sweating is reduced, sweating in the trunk area, especially in the front and back, increases. Can compensatory sweating be corrected? No. Once compensatory sweating occurs, it does not usually diminish spontaneously. Therefore, it is important to prevent it as much as possible. What do you think can be done to avoid compensatory sweating? The main factor associated with compensatory sweating is the way the surgery is performed – where the sympathetic nerve is selected for the surgery. Traditionally, compensatory sweating was heavy after surgery, but in the last decade or so, through repeated refinements of the surgical approach, the available surgical approaches have minimized compensatory sweating. Although some patients also experience increased sweating in the trunk area after surgery, it has little impact on daily life. If a patient is unfortunate enough to have postoperative compensatory sweating, how should it be managed? I have had many patients ask me this question online. Severe compensatory sweating is often caused by the use of an old and outdated surgical procedure, and the patient has to readjust to it. This means that the experience of the surgeon and the choice of the proper procedure are very important. Also, as people age, the overall amount of sweating decreases, and as the overall amount of sweating decreases, compensatory sweating may become less of a physical nuisance. Is there no particularly good treatment for compensatory sweating? So far, there is no treatment.