when i was 21 i got endoscopic thoracic sympathectomy surgery for hyperhidrosis. i had it on my hands, underarms and feet. the surgery i had was for the upper body and it worked great and thankfully got it covered by insurance. unfortunately its started to comeback on my right hand 9 years later and is already real annoying. they say if you have bad anxiety it can find another pathway. so take care of anxiety and stay away from stims if you plan on ETS surgery.