Medical Studies Detailing The Success Rate of ETS and ELS

The Endoscopic Thoracic Sympathectomy and Lumbar Sympathectomy procedures described on this website are backed by numerous peer reviewed surgical papers (listed below) proving the stated success rates and results. Additional papers were written and are being written adding further proof to the results already seen. As a user on this website you are highly encouraged to review each of these papers and discuss it with your own doctor.

Many doctors perform various hyperhidrosis procedures but few have actually advanced the field of study like Dr. Reisfeld by pioneering new techniques and authoring important research papers as seen below. Dr. Reisfeld has dedicated his career to the subject of hyperhidrosis and is currently known as an authority on the subject.

Medical Journal Papers

Hyperhidrosis - A Complete guide to diagnosis and management Published (2018):
Hyperhidrosis – A Complete guide to Diagnosis and Management

Medical and paramedical professionals, as well as students and researchers, interested in the topic will find the book comprehensive in scope and targeted in offering practical, clinical guidance. Diagnosis and Treatment of Hyperhidrosis – A Complete Guide counts with the collaboration of most renowned specialists of this field, and is intended as an easy to read and very practical reference book. Dr. Reisfeld contributed to the two chapters in this book dealing with the surgical treatment of plantar hyperhidrosis. ELS or Endoscopic Lumbar Sympathectomy became the latest approach to those patients suffering from severe plantar hyperhidrosis which is resistant to medical therapy. This procedure demands extra skills and knowledge with regard to severe foot sweating. Basically the book provides a very good overview for laymen and physicians alike. Recommended reading – The book is available on Amazon.
The American Surgeon - Severe Plantar Hyperhidrosis: An Effective Surgical Solution Published (August 2013):
The American Surgeon

Dr. Reisfeld published another peer reviewed study in the American Surgeon Medical Journal about the treatment of severe plantar hyperhidrosis (Foot Sweating). Dr. Reisfeld is proud to be one of the few surgeons who has invested his time and effort to study and advance this subject. This study evaluated overall safety and efficacy of endoscopic lumbar sympathectomy (ELS) using a clamping method in a large series of consecutive patients.
Learn more – Severe Plantar Hyperhidrosis: An Effective Surgical Solution

Endoscopic Lumbar Sympathectomy for Focal Plantar Hyperhidrosis Using the Clamping Method Published (August 2010):
Surgical Laparoscopy Endoscopy & Percutaneous Techniques

Surgical treatment for focal plantar hyperhidrosis is not yet well studied. Bilateral endoscopic lumbar sympathectomy (ELS), using the clamping method, was performed in 63 patients with focal plantar hyperhidrosis. Clamps were placed at L3 (46.0%) or L4 (52.4%), with one case at L2. All patients had improvement in foot sweating, with 96.6% achieving total anhidrosis.
Published by Surgical Laparoscopy Endoscopy & Percutaneous Techniques, a peer review journal – Published August 2010
View article details here

Thoracic Surgery Clinics Published (May 2008):
Thoracic Surgery Clinics

This publication includes comprehensive, state-of-the-art reviews by experts in the field provide current, practical information on the diagnosis and treatment of conditions affecting the lung, esophagus, chest wall, trachea, and pleura. Dr. Reisfeld contributed a peer reviewed chapter in this publication discussing the conservative treatment of Palmar (Hand Sweating) Hyperhidrosis. The need for a conservative trial to treat hyperhidrosis is the hallmark before any surgical treatment is attempted.
View details here – Look up 2008 Volume 18

Published September, 2006:
Clinical Autonomic Research Medical Journal
This study evaluates the outcome of 1,274 patients who underwent endoscopic thoracic sympathectomy for plamar, plantar, axillary or facial hyperhidrosis/blushing. Half of the patients were clamped at the T2T3 level and half were clamped at the T3T4 level. Postsurgical symptoms and side effects were assessed by interview. View the entire article here:
Sympathectomy for hyperhidrosis: should we place the clamps at T2T3 or T3T4?. You can also view information on the published paper at www.ncbi.nlm.nih.gov.
Published 2005:
Azygos lobe in endoscopic thoracic sympathectomy for hyperhidrosis
Paper published by Dr. Reisfeld describing relatively uncommon findings while performing endoscopic thoracic sympathectomy. The paper was peer reviewed and it described the anatomical entity and the surgical methods to deal with this abnormality. View a summary of this paper
Endoscopic Thoracic Sympathectomy for Hyperhidrosis 2002 Published 2002
Endoscopic Thoracic Sympathectomy for Hyperhidrosis
Dr. Reisfeld was published in the August 2002 issue of the Surgical Laparoscopy, Endoscopy & Percutaneous Techniques which is a peer reviewed (reviewed by other surgeons in the same field) surgical journal. To read the article summary click here.

News and Media

CBS2 Special Assignment

CBS2 Special Assignment

A special assignment CBS 2 television feature showing Dr. Reisfeld and the Endoscopic Thoracic Sympathectomy procedure.

Dr. Reisfeld was interviewed by 48 hours and Fox News with regard to hyperhidrosis. These shows have not yet aired but may in the future. We will provide information if they do.

Life Moments Dr. Reisfeld was featured on the cable network show Life Moments which showcases women and their triumphs in life through adversity.

MAKING IT HAPPEN Flo Sweaty Palms Surgery
Flo Wu is a gorgeous model and actress with a secret: she suffers from an embarrassing condition that causes excessive perspiration on her hands and feet. Will a world-renowned doctor be able to cure her condition surgically? Flo faces the MOMENT of truth.

Heart And Soul Magazine June/July 2002 Dr. Reisfeld was interviewed and published in the June/July 2002 Issue of Heart and Soul Magazine under the Body Clinic health advisor section. To read the article click here.


Dr. Reisfeld was interviewed and published in the June 29, 1998, issue of Newsweek Magazine
click here to read article.

WebMD Live Chat Transcript: A Cure for Excessive Sweating with Dr. Rafael Reisfeld

INNX Health

Featured on:
“EXCESSIVE SWEATING: Latest treatments aim to stop hyperhidrosis
produced by Mark Kadin
reported by Lucky Severson
story by Shawn OLeary
video edited by Katie Elfsten”
The HealthSurfing Report and HealthSurfing.com are created by and are trademarks of INNX / InterNetwork News. Copyright 1999-2001 INNX

Dr.Reisfeld has been featured in the Meet The Experts section of the site dedicated to hyperhidrosis information. To read the questions and answers click on the following two links:


In addition, Dr. Reisfeld has appeared in numerous television programs, including local, national, and international.

Do you have any questions that were not answered here? Would you like to speak with Dr.Reisfeld who can answer those questions? To learn more about what we can do for you contact The Center For Hyperhidrosis by contacting our office.