Hyperhidrosis (Sweaty Palms & ETS Surgery)
Palms that drip with sweat despite the weather, soaking papers and avoiding handshakes - this is hyperhidrosis, a real condition with a real cure. Tiny keyhole cuts permanently stop the sweating.
Why some hands sweat too much
A small nerve chain runs inside the chest and commands the sweat glands of the hands and armpits. In hyperhidrosis it over-heats, switching glands on almost constantly.
This is a genuine medical condition, not shyness or anxiety. It damages confidence, studies and work. Antiperspirants, tablets and iontophoresis offer only temporary relief.
Endoscopic thoracic sympathectomy (ETS) clamps or cuts the overactive nerve through two tiny cuts in the armpit. It is a day-care procedure, and the result - dry palms - is immediate and permanent.
The different forms
Palmar hyperhidrosis
Palms sweat constantly - the most common and most treatable form.
Axillary (armpit) hyperhidrosis
Sweating that stains clothes regardless of temperature.
Facial / plantar excess
Excess sweating of face or feet, which can accompany the hands.
Secondary causes
Occasionally another condition drives it - ruled out before surgery is decided.
Watch real cases from our operating theatre
Dr Ahmad Ali explains the condition and surgery in simple words.
How you know you have it
Typical symptoms
- Palms sweating without heat or exertion
- Sweat dripping during a written exam
- Avoiding handshakes, touchscreens and paperwork
- Sweat-soaked clothes at the armpits
How it is confirmed
Clinical Assessment
The complaint, severity and triggers are mapped in discussion.
Severity Grading
How much the sweating disrupts daily activity and study/work.
Ruling Out Causes
Thyroid and metabolic checks when the picture is unusual.
The procedure Dr Ahmad Ali performs
A 20-minute keyhole procedure with a day-one result - the ETS story.
Endoscopic Thoracic Sympathectomy (ETS)
- What it is — Two tiny cuts in the armpits allow a camera to reach the chest nerve, which is then gently clamped or cut.
- Eligibility — Severe palm sweating with failed conservative treatment.
- Stay — Day-care - you go home the same day.
- Recovery — Palms are dry the same day; chest X-ray confirms safety before discharge.
Benefits of treatment at ChestExperts
Dry palms the same day
The result is immediate and lasting - almost no other surgery changes a life so fast.
Two tiny scars
The cuts sit in the armpit and become barely visible.
No overnight stay
A day-care procedure with a discharge chest X-ray and a quick return home.
Confidence restored
Shaking hands, writing exams and using screens become normal again.
Reversible option
Clipping (rather than cutting) the nerve keeps the door open if ever needed.
Fully explained
The surgeon shows you exactly what happens - including the rare skin-dryness trade-off - before you choose.
Thoracic & Chest Surgeon
Meet Dr Ahmad Ali
Specialist thoracic and chest surgeon at Hameed Latif Hospital, Lahore - focused on minimal-pain, minimal-stay surgery, including for Hyperhidrosis (Sweaty Palms & ETS Surgery).
Dr Ahmad Ali treats every patient as his own. He first understands the problem completely - your symptoms, your scan and your daily life - before recommending anything. He explains each step simply, in Urdu or English, and never pushes a procedure that is not truly needed.
How he can help with Hyperhidrosis (Sweaty Palms & ETS Surgery): He confirms the exact diagnosis, then chooses the least invasive option that is genuinely safe for your stage and performs it with precision, so your recovery is smooth. For most cases, the procedure Dr Ahmad Ali performs here is Endoscopic Thoracic Sympathectomy (ETS).
Bring your reports - he tells you what they really mean, in simple words.
Only the tests that are genuinely needed are ordered - no extra burden.
The safest option for your exact stage, with clear and transparent cost.
The procedure, then careful follow-up until you are fully recovered.
Hands sweating beyond your control?
If sweats are spoiling your study or work, ETS offers a real, permanent end. Ask Dr Ahmad about it.