Only after all other non-surgical treatments have been tried and proven unsuccessful (aluminium chloride antiperspirants, iontophoresis with Glycopyrronium Bromide (Robinul), Botox, oral medication) should surgery be considered for excessive sweating.

As with any surgery, it is critical to choose a skilled surgeon who has experience with this type of procedure, and to be sure you fully understand the potential risks or complications.

There are two surgical approaches for treating hyperhidrosis – removing the sweat glands under the arm, or dividing the sympathetic nerves which lie along the sympathetic ganglion chain beside the spinal cord, a procedure called Endoscopic Transthoracic Sympathectomy. The latter is major surgery performed under a general anaesthetic.