No. Symptoms of palmar hyperhidrosis tend to develop in adolescence or early adulthood. Once symptoms occur they tend to worsen over time and do not spontaneously disappear. Not all patients with this problem require surgery. In some people, bothersome hand sweating only occurs under severe stress. In others it is present nearly all the time, and any stressful situation exacerbates the problem. These individuals will require surgery to alleviate the problem as no other therapy can effectively and permanently alleviate severe hyperhidrosis.