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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In his report on sympathectomy for hyperhidrosis, Little¹ concludes in the "Abstract," based on 31 patients, "palmar hyperhidrosis is predominantly a disease of young Asian women." He notes that, "Significant surgical experiences . . . have been reported, but almost completely by groups from outside of North America."

I have performed endoscopic thoracic sympathectomy for hyperhidrosis on an outpatient basis on more than 2200 patients in the United States, currently using single-lumen intubation, 2 trochars, and no chest tubes. My colleagues and I^2-3 have published reports on more than 1300 patients using both the cauterization and clamping methods, and I have recently submitted a paper on 1274 patients in whom the clamping method was used. A detailed demographic analysis, including evaluation of characteristics and outcomes by sex and ethnicity, was performed in an article I published along with colleagues.³ Of 1312 patients in that study, 55.9% were male and 68.1% were white. Only 17.3% . . . [Full Text of this Article]

AUTHOR INFORMATION
Rafael Reisfeld, MD

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Video-Assisted Thoracic Surgery Sympathectomy for Hyperhidrosis—Reply
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