The aim of this study is to evaluate the thoracoscopic sympathectomy as a mini-invasive surgical procedure for the treatment of palmar and axillary hyperhidrosis. 39 patients were involved in this study. The ages were ranging between (17_45) years. 78 surgical procedures were performed for these patients. Every patient underwent simultaneously -in the same op-sitting-bilateral thoracoscopic sympathectomies T2-T4 . Succass rate, i.e , abscence of axillary and palmar hyperhidrosis, was 100%. The most discomfortable complicantion for the patients was compensatory sweating which happend in 28% of our patients. The reuslts we achieved were very encouraging and promising , and the complications were acceptable. Therefor we advice to continue the applicatin of thoracoscopic sympathectomy T2-T4 as an ideal methode for treatment of palmar and axillary hyperhidrosis.