Health Conditions A-Z Skin, Hair & Nail Conditions Hyperhidrosis Hyperhidrosis Surgery: Sweat Gland Removal Procedures That May Relieve Excessive Sweating It's important to consider less invasive options before opting for surgery to remove your sweat glands. By Cathy Cassata Cathy Cassata Instagram Twitter Website For more than 10 years, Cathy Cassata has written stories about health, mental health, medical news, and inspiring people. health's editorial guidelines Updated on January 17, 2023 Medically reviewed by Leah Ansell, MD Medically reviewed by Leah Ansell, MD Leah Ansell, MD, is a board-certified dermatologist and assistant professor of dermatology at Columbia University. learn more Share Tweet Pin Email If you've tried antiperspirants, wipes, microwave therapy, and beyond, but nothing has brought you relief from sweating profusely, your healthcare provider may recommend hyperhidrosis surgery. Of course, whether surgery is appropriate may depend on the area of your body that's affected. A surgeon can readily access sweat glands in your armpit because they are near each other, Dee Anna Glaser, MD, a dermatologist at SLUCare Physician Group, told Health. By contrast, the skin on your feet and on the palms of your hands is tough and difficult to penetrate. Keep in mind that surgery is not a panacea. Dr. Glaser said that sweat glands are tiny and sometimes hard to detect with instruments, so it can be hard to predict the success of a surgical procedure. So is surgery an option for you? Here's what to know about surgical treatments for hyperhidrosis. Getty Images - Design: Alex Sandoval Local Surgeries for Sweat Gland Removal Surgery for axillary hyperhidrosis—sweating in the armpits—requires local anesthesia and can be done in an office rather than a hospital. Your healthcare provider might recommend one or a combination of the following, said Dr. Glaser: Excision, which involves the surgeon cutting out sweat glands from your underarmsCurettage, which involves the surgeon scraping out sweat glands in your armpit areaLiposuction, which involves suctioning out sweat glands in the underarms "In each of these surgeries, the surgeon is trying to remove or injure the sweat glands, so they don't produce sweat anymore," Adam Friedman, MD, professor of dermatology at George Washington School of Medicine and Health Sciences, told Health. There are a few things to consider about the surgery. Not Reversible While the International Hyperhidrosis Society (IHS) states that these surgeries often have good results, it warns that they are permanent and, therefore, not reversible. Recovery Time Recovery time typically takes a few days, with some soreness that can last up to a week. You may need to hold off on using your arms to lift things or engage in physical activity while you are sore. What Is Focal Hyperhidrosis? 7 Signs of This Chronic Sweating Condition Laser Surgery for Hyperhidrosis Laser surgery is another option for treating armpit sweating. Via tiny incisions in the underarm skin, a laser is passed under the skin to heat up and destroy sweat glands, the IHS explains. The procedure generally takes less than an hour to complete. Here are additional considerations to think about. Limited Data Data on the safety and effectiveness of laser treatment for armpit sweating is limited, consisting mostly of case reports involving a small number of patients, said IHS. A 2018 study concluded that large, randomized trials of laser treatment for hyperhidrosis are needed. However, some healthcare providers do offer the treatment. Hyperhidrosis Can Affect Your Feet, Too—Here's What You Can Do About It, According to Dermatologists ETS Surgery for Sweat Gland Removal ETS is a major surgery used to treat severe cases of hyperhidrosis in the palms and underarms, and sometimes in the face. During this procedure, a surgeon attempts to cut or destroy the nerve paths on the spinal column that are connected to sweat glands in the area of your body you want to stop producing sweat, according to Dr. Glaser. To locate the nerves to cut, the surgeon inserts a camera through the chest under the armpit. In order to destroy the nerve, your lung has to be temporarily collapsed. This surgery is considered to be a last resort. Last Resort The IHS states that ETS surgery should be considered with great caution and only as a last option when no other treatments provide relief and hyperhidrosis is so severe that it affects a person's ability to live their life. Dr. Glaser said ETS can cause damaging side effects: "It can cause a major condition called compensatory hyperhidrosis, which can develop six months to 10 years after the surgery." Sweating in the treated area of the body may stop, but profuse sweating begins elsewhere, usually somewhere from the chest down. "It can be mild, moderate, or severe," said Dr. Glaser. But there's no treatment for compensatory hyperhidrosis—"and it can't be reversed." Side Effects ETS can cause the following side effects: HyperhidrosisExtreme hypotensionArrhythmiaHeat intoleranceDeath, in some cases While ETS was once a good idea, Dr. Glaser said it has proven to be too dangerous. She has some patients who are happy with the results and others who regret getting the surgery because they developed compensatory hyperhidrosis in the groin area, causing so much sweating that they wear a diaper to cope. What Is Xeomin? Gwyneth Paltrow Uses the Anti-Wrinkle Injectable That's 'Cleaner' Than Botox Will Insurance Cover Hyperhidrosis Surgery? Health insurance organizations often do not recognize surgeries as a treatment for hyperhidrosis, and therefore, usually won't pay for them, said the IHS. Many patients pay out-of-pocket for these surgeries. But Dr. Friedman said your healthcare provider may be able to help you navigate coverage and cost issues. A Quick Review People who experience excessive sweating of the underarms, or hyperhidrosis, may be interested in exploring surgical options if all other methods to reduce sweating have failed. Among the surgical treatments for hyperhidrosis available are local surgery, laser surgery, and ETS. Each type of surgery carries different risks and benefits. You should discuss your surgical options with a healthcare provider. Was this page helpful? Thanks for your feedback! Tell us why! Other Submit Sources Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. International Hyperhidrosis Society (IHS). Underarm surgeries. International Hyperhidrosis Society (IHS). Lasers. Cervantes J, Perper M, Eber AE, Fertig RM, Tsatalis JP, Nouri K. Laser treatment of primary axillary hyperhidrosis: a review of the literature. Lasers Med Sci. 2018 Apr;33(3):675-681. doi:10.1007/s10103-017-2434-0 International Hyperhidrosis Society (IHS). Endoscopic thoracic sympathectomy (ETS).