The surgery involves some intervention, in severe cases, ranging from the removal of underarm sweat glands (only in this clinical variety, of course) through various incisions or, even, with the aspiration techniques of subcutaneous tissue, which contains the glands . Still in surgery can be practiced classical thoracic sympathectomy ("open") or, with better results, endoscopic thoracic sympathectomy, minimally invasive surgery that can be expressed in palmar hyperhidrosis, facial, and according to some, even in the axillary , in what form so you can avoid direct intervention to the removal of the glands, we said. With regard to isolated plantar hyperhidrosis, this can be cured only with a lumbar sympathectomy, which is an abdominal "open", and hyperhidrosis of the trunk and the thighs or the general can not benefit from surgical treatment. It remains to be remembered, however, that today the most effective help for the serious treatment of hyperhidrosis is provided by botulinum toxin (produced by a bacterium: Clostridium botulinum) that is injected subcutaneously in the region affected by hyperhidrosis, blocks the secretion sweat for 6 to 8 months.