ETS surgery should not necessarily be your first choice for hyperhidrosis treatment or controlling excessive sweating of armpit, blushing, or hand sweat, but often it is the only choice. This is especially true if you have problems with excessive sweating in all three areas. Where anti-perspirant may possibly control sweat under the arms, it does nothing for blushing or hand sweat. For sweating in all three locations, standard anti-perspirants will not be effective.

Still, ETS surgery is a serious proposition, like any surgery, so it should be taken seriously. Any major or minor surgery poses some risk so you should see if other methods of controlling excessive sweating are helpful rather than ETS Surgery. The most common problem for hyperhidrosis treatment by ETS surgery is done for controlling excessive sweating on palms. This is not surprising as it is much more difficult controlling excessive sweating of palms using methods other than ETS Surgery such as topical cream or prescription medication. Controlling excessive sweating on palms, ETS surgery is often the only alternative.

If you do not have sweaty palms in conjunction with blushing or excessive armpit sweat, ETS surgery is not always recommended. If you have one or two of these symptoms, discuss with your doctor for the best action. Some recommend a different type of surgery—such as ETS surgery where nerve is clamped rather than completely severed. This type of ETS surgery involves severing the link between nerves and the brain, deleting message that the brain sends the nervous system to begin sweating.

After ETS surgery for hyperhidrosis treatment, the brain is not able to relay message that the body should sweat. Without the message, the body will not produce sweat or blushing due to environment or emotional factors and thus the hyperhidrosis treatment or the ETS Surgery works.

ETS surgery can affect blood pressure, thyroid function, goose bumps, pupil dilation and other factors so these issues should be discussed with your doctor before embarking on ETS surgery. Generally, side effects are rare with hyperhidrosis treatment done by ETS surgery and the success rate is high but any surgery poses some type of risk. One of the more common side effects is perspiration in a different part of the body, such as below the waist, but many patients find this preferable to palm, face, or armpit sweat. Surgeons will vary on the type of incision or method of severing the nerve so this should also be considered.