Hyperhidrosis is a condition where sweating occurs more than the amount that is required to maintain the body temperature. Different management options for hyperhidrosis are listed in tabular form in the chapter. Surgical procedures that are discussed in detail in this chapter are botulinum toxin for palmoplantar hyperhidrosis, botulinum toxin for craniofacial hyperhidrosis, botulinum toxin for axillary hyperhidrosis, and subcutaneous curettage of sweat glands for axillary hyperhidrosis. Local surgical procedures like excision of skin and glandular tissues, curettage or liposuction procedures to remove subcutaneous glands, and a combination of limited skin excision with glandular tissue removal are described. Gravimetry test and Minor’s starch iodine test are the methods used for analysis of sweating.