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Palmar hyperhidrosis is an important condition that may cause emotional, educational, and work-related problems .Patients with primary hyperhidrosis (excessive sweating) have the option of undergoing a surgical procedure called thoracoscopic sympathectomy. The operation is also known as endoscopic thoracic sympathectomy or minimally invasive thoracic sympathectomy. The sweat glands are stimulated by nerve fibers that arise from the spinal cord and run along each side of the spine in what is called the sympathetic chain. The thoracoscopic sympathectomy interrupts the sympathetic chain, preventing the nerve signals that originate in the spine from reaching and stimulating the sweat glands. Because ETS is performed through small keyhole incisions rather than a large chest incision, there's no scarring, less pain and a faster recovery