Life's Too Short to Worry About Every Handshake
If sweaty palms affect your confidence, career, or daily activities, clinical solutions are available. Endoscopic Thoracic Sympathectomy (ETS) is a minimally invasive day surgery designed to provide long-lasting results for the majority of eligible patients. No GP referral is required.
Sweaty Palms Surgery
- Day surgery option (under 1 hour procedure)
- 99% success rate observed in eligible clinical cases
- No GP referral needed for consultation
- Medisave & major insurance claimable
- Quick recovery: return to normal activities in a few days
- Gleneagles or Mount Alvernia Hospital
Understanding Hyperhidrosis: Excessive Palm Sweating
Hyperhidrosis, characterised by excessive and uncontrollable sweating, affects individuals globally across both personal and professional environments. Many navigate these difficulties without realising that the cure is available.
This condition is far more than a minor inconvenience. Constantly wiping hands, avoiding handshakes, worrying about leaving damp marks on documents, and navigating job interviews are common challenges; Hyperhidrosis can frequently affect social and professional interactions.
Clinical Insight: Modern endoscopic thoracic sympathectomy utilizes minimally invasive VATS techniques. This day procedure demonstrates up to a 99% success rate for focal palmar hyperhidrosis, allowing individuals to undergo treatment effectively within a day surgery.
Global Prevalence
Estimated percentage of the general population managing hyperhidrosis symptoms according to epidemiological studies.
Regional Data
Documented variations in prevalence rates within certain Asian populations and clinical tracking reports.
ETS Success Rate
The success rate recorded in clinical literature for the treatment of focal hand sweating.
Day Surgery
Patients undergo a day surgery procedure and are discharged the same day or stay in the hospital for one night.
What Is ETS Surgery?
Endoscopic Thoracic Sympathectomy (ETS) is a surgical procedure for severe primary palmar hyperhidrosis. It works by cutting the sympathetic nerve that carries the signals driving excessive sweating in the palms.
The procedure is performed using Video-Assisted Thoracoscopic Surgery (VATS), which lets the thoracic surgeon view the chest through a small endoscope. The sympathetic chain is divided at the appropriate level (T3 or T4), permanently interrupting the sweat signal to the hands.
The surgery is done under general anaesthesia and takes around 30 to 45 minutes. Both sides are treated in the same session, and eligible patients are usually discharged the same day.
"Video-assisted endoscopic thoracic sympathectomy provides a targeted, minimally invasive surgical approach to address severe palmar hyperhidrosis when conservative treatments have not achieved satisfactory clinical results."
Am I a Candidate for Sweaty Palms Surgery?
A full medical assessment looks at every option, including non-surgical ones, before deciding whether surgery is right for you. ETS may be an option if you:
- ✓ Have been diagnosed with primary palmar hyperhidrosis (excessive sweating of the palms)
- ✓ Find the sweating interferes with your work, social life, or daily activities
- ✓ Have tried non-surgical treatments — clinical antiperspirants, iontophoresis — without enough relief
- ✓ Have sweating focused on the hands, since ETS works best for palmar hyperhidrosis specifically
- ✓ Are in good general health and fit for elective general anaesthesia
- ✓ Understand what the procedure involves, including the possible side effects
The Clinical Consultation and Treatment Process
Initial evaluation appointments are arranged promptly. If surgical intervention is recommended, scheduling is finalised based on clinical readiness.
Book Your Assessment
Request a specialised evaluation for hyperhidrosis directly online, via WhatsApp (+65 9276 2485), or by calling our care team. No GP referral required.
Clinical Evaluation
Dr Harish reviews your complete medical history, and discusses both surgical and conservative options.
Your Day Procedure
The minimally invasive keyhole procedure (ETS) is carried out under general anesthesia at Gleneagles or Mount Alvernia Hospital, typically taking under an hour.
Recovery & Discharge
After a standard post-operative monitoring window, your discharge details are finalised the same afternoon, allowing you to return home safely.
Treatment Goals
For eligible patients with severe symptoms, ETS aims to stop the excessive sweating at its source by cutting the sympathetic nerves that trigger it. The goal is dry, stable palms.
For many patients, this means being able to do everyday things — handle paperwork, shake hands, use a phone or touchscreen — without the constant sweating and the anxiety that feeds it
"Not everyone is a candidate for ETS. Selection follows clear criteria — a confirmed diagnosis, failed non-surgical treatments, and fitness for anaesthesia — and every patient is walked through both the expected results and the risks, including compensatory sweating, before deciding."
ETS Surgery : Your Questions Answered
Sweaty palms and feet are often caused by an overactive sympathetic nervous system — the part of your body that controls automatic responses like sweating. In other cases, it may be linked to certain medications, or medical conditions such as diabetes, hyperthyroidism, infections, or hormonal changes.
You don't need a GP referral to book your first consultation with us. However, if you're planning to claim from your insurance, some insurance policies may require a referral letter. Do check with your insurance provider, or give our clinic a call and we'll help guide you through it.
Before considering surgery, you'll need to have properly tried other treatment options first. These include:
- Clinical-strength antiperspirants
- Iontophoresis (a treatment using mild electrical currents)
- Temporary nerve-blocking injections
Surgery is only considered if these treatments don't give you satisfactory results.
Book Your Consultation: Evaluation for Hyperhidrosis
A clinical consultation provides a structured, detailed conversation about whether surgical options match your diagnostic profile. The consultant surgeon reviews all surgical and non-surgical paths to map out an objective approach.
- No GP referral required for initial evaluation
- Same-week appointments at Gleneagles Hospital & Mount Alvernia Hospital
- All treatment options discussed, including non-surgical alternatives
- A clear explanation of the procedure, what to expect during recovery, and the possible risks and outcomes
- Day surgery, with discharge home on the same day if appropriate
- Our team can guide you through your Insurance and Medisave claims
Call or WhatsApp directly
Call: +65 6908 2145 Mon–Fri 9am–5:30pm · Sat 9am–12:30pm Email: info@neumarksurgery.com WhatsApp to Book (+65 9276 2485)Book Your ETS Consultation
Two Fully Accredited Hospitals
Gleneagles Hospital
- Gleneagles Hospital Medical Centre, 6 Napier Road #02-09, Singapore 258499
- Central Medical Intake Coordination. Clinic Hotline: +65 6908 2145
- Dedicated parking facilities available on site
- Mon–Fri 9am–5:30pm · Sat 9am–12:30pm
Mount Alvernia Hospital
- Mount Alvernia Hospital, 820 Thomson Road, Medical Centre Block D #06-07, Singapore 574623
- North Medical Intake Coordination. Clinic Hotline: +65 6908 2145
- Dedicated parking facilities available on site
- Mon–Fri 9am–5:30pm · Sat 9am–12:30pm
