Hyperhidrosis Surgery

How Much Does Hyperhidrosis Surgery Cost

Key Takeaways

  • The average cost of hyperhidrosis surgery in the U.S. ranges from $1,500 to $5,000 or more.
  • In the United Kingdom, the cost typically ranges from £4,000 to £6,000 or more.

Hyperhidrosis is a medical condition characterized by excessive sweating, which can significantly impact an individual’s quality of life. The excess sweat can be embarrassing, create social anxiety, and interfere with daily activities. While there are several treatments available, surgical options are often considered when other methods fail to provide relief. This article delves into the surgical alternatives, primarily focusing on the costs associated with hyperhidrosis surgery.

Understanding Hyperhidrosis Surgery

Types of Hyperhidrosis Surgery

Hyperhidrosis surgery aims to either reduce or stop the excessive sweating and is categorized based on the targeted area and the surgical techniques used. Below are the main types of hyperhidrosis surgery:

  • Endoscopic Thoracic Sympathectomy (ETS): This is one of the most common surgical procedures for treating hyperhidrosis. ETS involves severing or clamping the sympathetic nerves that trigger sweating. It’s particularly effective for treating excessive sweating in the hands (palmar hyperhidrosis) but can also be used for axillary hyperhidrosis (excessive sweating in the armpits).
  • Local Sweat Gland Excision: Unlike ETS, which targets the nerve triggers, local sweat gland excision focuses on the removal of sweat glands from the affected area, typically the armpits. This procedure is more localized and is less invasive compared to ETS.

Benefits and Risks

Hyperhidrosis surgery can provide long-term relief from excessive sweating, improving the individual’s confidence and social interactions. However, like any surgical procedure, it carries certain risks. Here are some benefits and potential drawbacks:

  • Relief from Excessive Sweating: One of the most significant advantages of hyperhidrosis surgery is the substantial reduction or complete cessation of excessive sweating in the treated areas. This relief can be life-changing for individuals who have struggled with hyperhidrosis for a long time.
  • Potential Side Effects: While the surgery can provide relief from excessive sweating, it can also cause compensatory sweating, which is increased sweating in other parts of the body. This is a common side effect, especially after undergoing ETS. Other potential side effects may include scarring, infection, and, in rare cases, Horner’s syndrome (a disruption of the nerve pathway from the brain to the face and eye).

Diving into the Costs

Hyperhidrosis surgery cost is an always concern for many people. Several factors come into play when determining the cost of the procedure. Below, we dissect the various elements that contribute to the overall cost, providing a clearer picture for those considering this surgical solution.

Factors Influencing the Cost

  • Surgeon’s Expertise: The expertise and experience of the surgeon performing the procedure can significantly impact the cost. Highly skilled and reputable surgeons may charge higher fees due to their expertise and the demand for their services.
  • Geographical Location: The region or country where the surgery is performed also plays a significant role in determining the cost. Areas with higher costs of living or higher demand for surgical services may have higher surgical fees.
  • Type and Extent of Surgery: The specific type of hyperhidrosis surgery and the extent of the procedure will also affect the cost. For instance, endoscopic thoracic sympathectomy (ETS) might be more expensive compared to local sweat gland excision due to its complexity.

Cost Breakdown

  • Initial Consultations: Before the surgery, one or more consultations with the surgeon will be necessary to determine the appropriate surgical approach. These consultations come at a cost, which may or may not be included in the overall surgical fee.
  • Surgery Cost: This is the core cost and includes the surgeon’s fee, anesthesia, and facility fees. The complexity and duration of the surgery will significantly impact this cost.
  • Post-Surgery Care and Any Necessary Follow-Up Treatments: After the surgery, follow-up appointments will be necessary to monitor the healing process. Additionally, any complications or additional treatments required will add to the overall cost.

Insurance Coverage

The financial aspect of hyperhidrosis surgery can be a burden, but insurance coverage might alleviate some of the costs. Here’s what to consider:

  • Scenarios Where Insurance Might Cover: Some insurance plans may cover the cost of hyperhidrosis surgery if it’s deemed medically necessary. It’s crucial to check with your insurance provider and understand the circumstances under which they would provide coverage.
  • Out-of-Pocket Expenses: Even with insurance coverage, there may be out-of-pocket expenses such as deductibles, copayments, or non-covered services. It’s essential to have a clear understanding of these potential costs to plan accordingly.

Global Cost Overview

The cost of hyperhidrosis surgery can significantly vary from one country to another due to differences in healthcare systems, currency values, and standard of living. Here, we provide a cost overview of hyperhidrosis surgery in the United States and the United Kingdom, two countries where this procedure is commonly performed.

Costs in the United States

In the United States, the cost of hyperhidrosis surgery can range widely based on the factors previously discussed such as the surgeon’s expertise, geographical location, and the specific type of surgery. Here’s a closer look at the costs involved:

  • Average Cost and Range: The average cost of hyperhidrosis surgery in the U.S. can range anywhere from $1,500 to $5,000 or more. This range accounts for the different types of surgeries and the variability in surgeon’s fees and facility costs.
  • Real-life Cost Examples: Some individuals have reported costs of around $1,950 for the initial treatment, with a follow-up or secondary treatment costing around $950 if necessary. These costs can provide a ballpark figure, but it’s important to note that every case is unique, and costs can fluctuate based on individual circumstances and the specifics of the surgery.

Costs in the United Kingdom

The cost landscape for hyperhidrosis surgery in the UK slightly differs from that in the U.S. Here’s a glimpse of what one might expect to pay for this procedure across the pond:

  • Average Cost and Range: In the United Kingdom, the cost of hyperhidrosis surgery typically falls between £4,000 to £6,000 or more. This range encompasses the variability in costs due to surgeon expertise, geographical location, and the nature of the surgical procedure.

Preparing for Hyperhidrosis Surgery

Preparation is a critical step on the road to deciding whether hyperhidrosis surgery is the right solution for you. This phase involves selecting a qualified surgeon, attending consultations, and getting all your queries addressed to make an informed decision.

Selecting a Surgeon

Choosing a skilled and experienced surgeon is paramount to ensure the success of the surgery and minimize risks. Here are some factors to consider when selecting a surgeon:

  • Experience and Expertise: Look for a surgeon who has extensive experience in performing hyperhidrosis surgeries, particularly the type you are considering (e.g., Endoscopic Thoracic Sympathectomy (ETS)).
  • Board Certification: Ensure that the surgeon is board-certified in a relevant field, which reflects their adherence to stringent standards of skill, ethics, and continuous education.
  • Patient Reviews and Testimonials: Go through patient reviews and testimonials to gauge the satisfaction and experiences of previous patients. This can provide insights into the surgeon’s expertise, bedside manner, and the quality of care provided.
  • Before-and-After Photos: Request to see before-and-after photos of previous surgeries to evaluate the results the surgeon has achieved.
  • Hospital Privileges: Check if the surgeon has privileges at reputable hospitals, which is often a sign of their competence and adherence to high standards of care.


The consultation is your opportunity to understand the procedure, its risks, benefits, and the costs involved. Here’s what to expect during a consultation and some essential questions to ask:

  • Medical Evaluation: Your surgeon will conduct a thorough medical evaluation to determine your eligibility for the surgery. This includes a review of your medical history, a physical examination, and possibly some tests.
  • Procedure Explanation: The surgeon will explain the procedure, the surgical techniques involved, and what to expect before, during, and after the surgery.
  • Cost Estimate: A detailed cost estimate will be provided, outlining the surgeon’s fees, hospital charges, anesthesia fees, and any additional costs.

Questions to Ask:

  • What are the risks and complications associated with hyperhidrosis surgery?
  • What type of anesthesia will be used, and what are its risks?
  • What is the total cost of the surgery, including any post-operative care and follow-up visits?
  • What results can I reasonably expect, and how long will they last?
  • Are there any alternatives to surgery that I should consider?
  • What is the protocol for handling any complications that may arise during or after the surgery?

Armed with the right information and a clear understanding of the procedure, you’ll be well-placed to make an informed decision about whether to proceed with hyperhidrosis surgery.

Alternatives and Complementary Treatments

There are alternative and complementary treatments for hyperhidrosis, especially if the cost of surgery seems prohibitive or the potential risks daunting. Here’s a detailed look at some of these alternatives:

Non-surgical Treatments

  • Medications: Antiperspirants containing aluminum chloride can be effective in managing mild to moderate hyperhidrosis. Additionally, oral medications such as anticholinergics can help reduce sweating, though they may come with side effects like dry mouth and blurred vision.
  • Iontophoresis: This treatment involves passing a mild electrical current through water to the skin’s surface, which can temporarily block sweat glands. It’s a safe and effective treatment for palmar (hand) and plantar (foot) hyperhidrosis.
  • Botox Injections: Botulinum toxin injections can provide temporary relief from excessive sweating by blocking the nerves that trigger sweat glands. Botox treatments for hyperhidrosis are usually effective for several months before repeat injections are needed.

Comparing Costs

Understanding the cost dynamics between surgical and non-surgical treatments can help individuals make informed decisions based on their financial circumstances and the severity of their condition.

  • Cost-effectiveness of Surgical vs Non-surgical Treatments Over Time:
    • Initial Costs: Non-surgical treatments like medications, iontophoresis, and Botox injections typically have lower upfront costs compared to surgery. However, these treatments require ongoing or repeat sessions, which can add up over time.

Long-term Costs: On the other hand, hyperhidrosis surgery, despite its high initial cost, provides a more permanent solution, potentially leading to lower costs in the long run. Yet, it’s crucial to factor in any post-surgery care and possible complications which might incur additional expenses.

Hyperhidrosis Surgery
Personal Experiences and Recommendations Real-life Experiences The internet is rife with personal accounts of individuals who have opted for hyperhidrosis surgery to combat excessive sweating. Forums and social media platforms provide a platform for sharing experiences, discussing costs, and evaluating the effectiveness of the surgery. Here’s a summary of the discussions:
  • The surgical technique employed whether the surgeon opted to cut or use clips on the nerves, the specific nerves targeted during surgery (T-3 or T-4), and the level of compensatory sweating experienced post-surgery, often rated on a scale of 10 for severity.
  • Cost Concerns: Many individuals express concerns regarding the high upfront costs of the surgery. Some share their experiences, mentioning that the cost was a significant factor in delaying their decision to undergo the procedure. Others reflect that the relief from excessive sweating was well worth the investment.
  • Effectiveness: The effectiveness of the surgery in alleviating excessive sweating is a common topic of discussion. Many reported a significant reduction in sweating post-surgery, while others mention the occurrence of compensatory sweating in different areas of the body.
  • Post-Surgery Recovery: Individuals also share their recovery journey, discussing the post-surgery care, the healing process, and the time taken to resume normal activities.
Hyperhidrosis Surgery T3T4

Expert Recommendations

  • Consultation: Seek consultations with experienced surgeons to understand the procedure, its risks, benefits, and the associated costs. It’s advisable to get a second or even a third opinion to have a well-informed perspective.
  • Insurance: Explore insurance coverage options and understand what portion of the costs might be covered. It’s also beneficial to discuss this with your surgeon, who might provide insights on how to navigate insurance claims for the procedure.
  • Financial Planning: Plan your finances to accommodate the cost of the surgery and any unforeseen expenses related to post-surgery care or complications. Some medical facilities offer payment plans or financial assistance, which could be worth exploring.
  • Managing Expectations: Understand that while the surgery has a high success rate in reducing excessive sweating, there might be side effects like compensatory sweating. Engaging with online communities, reading through personal experiences, and discussing with medical professionals can help set realistic expectations.


  • How long is the recovery period post-surgery?
    The recovery period can vary depending on the type of surgery performed and the individual’s overall health. On average, patients may need a few days to a week off work to recover. Full recovery and seeing the final results could take a few weeks. It’s essential to follow the surgeon’s post-operative care instructions for a smooth recovery.
  • Can hyperhidrosis surgery be reversed?
    Unfortunately, hyperhidrosis surgeries such as Endoscopic Thoracic Sympathectomy (ETS) are permanent and cannot be reversed. It’s crucial to consider the long-term implications and discuss any concerns with your surgeon before proceeding.
  • Does insurance cover the cost of hyperhidrosis surgery?
    Insurance coverage can vary significantly. Some insurance companies may cover the cost if the surgery is deemed medically necessary. It’s advisable to contact your insurance provider to understand the coverage and requirements.
  • What are the long-term effects of hyperhidrosis surgery?
    Hyperhidrosis surgery can provide long-term relief from excessive sweating. However, it may also result in compensatory sweating in other areas of the body. Some individuals may experience dry hands or slight nerve pain. It’s crucial to discuss the potential long-term effects with your surgeon to set realistic expectations.


  1. “Hyperhidrosis: Diagnosis and treatment”– American Academy of Dermatology Association
  2. “Endoscopic Thoracic Sympathectomy”– Cleveland Clinic
  3. “Hyperhidrosis Surgery: Costs, Risks, and Benefits”– Healthline
  4. “Hyperhidrosis: Treatment Options”– Mayo Clinic
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