Sweaty Palms Surgery

Sweaty hands or palms

Hyperhidrosis (i.e. excessive sweating) is a condition that can cause stress, anxiety and in extreme cases it can be an occupational hazard, for those afflicted by it.

Hands, feet, armpits, and the groin area are among the most active regions of perspiration due to the relatively high concentration of sweat glands.

Sweat gland is supplied by sympathetic nerve that comes from the branch of sympathetic chain (sympathetic nervous system).

The most effective way to resolve this affliction is to interrupt the sympathetic nervous system.


Ara Damansara Medical Centre provides a permanent solution to your sweaty palms condition. Our surgeon is able to nip the problem in the bud, allowing you to be back to your daily activities within days.

  • The only permanent solution for this condition is surgery - Sympathectomy (i.e. the removal of a portion of the sympathetic chain).
  • This minimally invasive endoscopic surgery is conducted under general anaesthesia and involves 2 small incisions on the chest. The patient can be discharged the same day.
  • Usually the patient has minimal pain from this operation. The beneficial effect is noticeable immediately and the risk involved is low with minimal side-effects.
  • Most importantly, the outcome of this procedure has a high success rate of >95%.


  1. Is it safe?
    It is a very safe operation with complication rates less than 5%. Most of these complications are non-life threatening.
  2. Is it painful?
    Not much. The doctors will prescribe you with some mild pain killer when you go home
  3. What are the restrictions after the surgery?
    The next day, you might feel a bit tired due to the anaesthesia. However you can do anything you want after 1 week.
  4. Can it be done as an outpatient procedure?
    Yes in most cases.
  5. I am only 16 years old but I sweat a lot in my hands. Can I have the operation?
    Yes, you can. We don’t usually recommend this operation to patient younger than 14 years. However, many children below 14 years had this operation without problems. The only reason why operation should be delayed to 14 is because of the higher rate of recurrence.

Dr Syaiful Azzam bin Sopandi

Consultant General & Vascular Surgeon
General Surgery, Vascular Surgery