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Prices for specialists, e.g., gynaecologists, dermatologists, cardiologists, orthopaedists, and ophthalmologists, may vary according to the specialist. You can see the exact price on the specialist's own page or in the online booking by clicking on the doctor's name.
| Service | Price estimate | Info |
|---|---|---|
| Appointment with a specialist, 20 min Price per appointment. | from 140,10 € Without Kela reimbursement from 148,10 € Price estimate from 140,10 € Without Kela reimbursement from 148,10 € | Price per appointment. |
| Appointment with a specialist, 30 min Price per appointment. | from 163,10 € Without Kela reimbursement from 171,10 € Price estimate from 163,10 € Without Kela reimbursement from 171,10 € | Price per appointment. |
| Appointment with a specialist, 45 min Price per appointment. | from 199,10 € Without Kela reimbursement from 207,10 € Price estimate from 199,10 € Without Kela reimbursement from 207,10 € | Price per appointment. |
| Gynaecologist's appointment, 20 min | from 83,10 € Without Kela reimbursement from 153,10 € Price estimate from 83,10 € Without Kela reimbursement from 153,10 € | |
| Gynaecologist's appointment, 30 min | from 90,10 € Without Kela reimbursement from 160,10 € Price estimate from 90,10 € Without Kela reimbursement from 160,10 € | |
| Dermatologist's appointment, 20 min | from 144,10 € Without Kela reimbursement from 152,10 € Price estimate from 144,10 € Without Kela reimbursement from 152,10 € | |
| Dermatologist's appointment, 30 min | from 159,10 € Without Kela reimbursement from 167,10 € Price estimate from 159,10 € Without Kela reimbursement from 167,10 € | |
| ENT doctor's appointment, 20 min | from 142,10 € Without Kela reimbursement from 150,10 € Price estimate from 142,10 € Without Kela reimbursement from 150,10 € | |
| ENT doctor's appointment, 30 min | from 166,90 € Without Kela reimbursement from 174,90 € Price estimate from 166,90 € Without Kela reimbursement from 174,90 € | |
| Paediatrician's appointment, 20 min | from 142,10 € Without Kela reimbursement from 150,10 € Price estimate from 142,10 € Without Kela reimbursement from 150,10 € | |
| Paediatrician's appointment, 30 min | from 166,90 € Without Kela reimbursement from 174,90 € Price estimate from 166,90 € Without Kela reimbursement from 174,90 € | |
| Orthopaedist's appointment, 20 min | from 142,10 € Without Kela reimbursement from 150,10 € Price estimate from 142,10 € Without Kela reimbursement from 150,10 € | |
| Orthopaedist's appointment, 30 min | from 166,90 € Without Kela reimbursement from 174,90 € Price estimate from 166,90 € Without Kela reimbursement from 174,90 € | |
| Appointment with a psychiatrist, 45 min Price per appointment. | from 123,70 € Without Kela reimbursement from 173,70 € Price estimate from 123,70 € Without Kela reimbursement from 173,70 € | Price per appointment. |
| Appointment with a psychiatrist, 60 min Price per appointment. | from 172,10 € Without Kela reimbursement from 232,10 € Price estimate from 172,10 € Without Kela reimbursement from 232,10 € | Price per appointment. |
| Ophthalmologist's appointment, 30 min | from 166,90 € Without Kela reimbursement from 174,90 € Price estimate from 166,90 € Without Kela reimbursement from 174,90 € | |
| Ophthalmologist's appointment, 45 min | from 222,10 € Without Kela reimbursement from 230,10 € Price estimate from 222,10 € Without Kela reimbursement from 230,10 € |
Revised 12/15/2025
Published 12/12/2025
The sympathetic nervous system regulates sweating, heart rate and the function of the skin’s blood vessels. When overreaction of the nervous system causes excessive sweating of the hands or facial blushing, endoscopic blockade can calm the activity. Sympathetic nerve blockade is most effective for severe excessive sweating of the hands, i.e. hyperhidrosis, and selectively for facial blushing when other treatments are not sufficient. The effect often begins immediately after the surgery.
Surgery for excessive sweating and blushing requires careful, individual pre-examination and a procedural plan. Before the surgery, the physician reviews your situation and discusses your symptoms and possible triggers with you, such as stress and underlying diseases.
Our surgery coordinator will call about a week before the surgery to ensure that your preparations have proceeded as agreed. They will also inform you about matters to note on the day of surgery, such as eating, drinking and arriving at the hospital.
During the surgery, you will be cared for by the surgeon, the anaesthesiologist and the operating room nurses. The surgery is performed endoscopically, typically with two small incisions. The surgeon identifies the sympathetic nerve chain in the chest and blocks it. The procedure typically lasts 30–60 minutes.
After the surgery, your condition will be monitored in the recovery room under the supervision of a nurse. Once you have woken up, you will receive something to eat and drink.
You can usually go home about 4 hours later. Before discharge, you will meet the surgeon, who will explain how the surgery went. You will receive clear instructions on pain management and other aspects of recovery. In addition, you will be given appointments for any necessary follow-up visits.
Recovery from surgery for excessive sweating and blushing usually occurs quickly, and return to light everyday activities is possible already 2–5 days after the surgery. The effect of the surgery on sweating and blushing usually begins immediately.
Voit jättää meille myös yhteystietosi ja kuvailla mistä leikkauksesta tai pientoimenpiteestä olet kiinnostunut. Otamme sinuun yhteyttä mahdollisimman pian.
Sympathetic nerve blockade, i.e. endoscopic thoracic sympathetic block (ESB), is an endoscopic surgery in which the sympathetic nerve chain in the chest is blocked to reduce excessive sweating or blushing. The surgery is performed under general anaesthesia through small incisions, and discharge often takes place on the same day.
Sympathetic nerve blockade is primarily suitable for severe sweating of the hands, i.e. palmar hyperhidrosis, and socially impairing facial blushing when other treatment is not sufficient. Suitability for surgery is assessed at a specialist’s practice, where treatment history, health status and risks are reviewed.
The response for underarm sweating is more variable than for hand sweating. In severe underarm sweating, botulinum toxin and topical treatments are often the first-line treatment options. Before the surgery, the surgeon’s individual assessment is important.
The most common adverse effect is compensatory sweating on the trunk. Possible side effects can also include dryness of the hands or face. Risks are always discussed at the practice before the actual surgery decision.
Sympathetic nerve blockade performed with clips can in some situations be reversed by removing the clips. Alleviation of adverse effects is more likely if the removal is done soon after the original procedure. The decision is made with the surgeon based on an assessment of the situation.
Resting heart rate and blood pressure may decrease somewhat, and in the initial phase achieving maximal performance may feel more demanding. For most, everyday life becomes easier when sweating or blushing calms down. Instructions for continuing physical activity and work are given individually
The price of surgical treatment for excessive sweating and blushing depends on the extent of the procedure and the materials used. You will always receive an individual estimate of the surgery costs from our physician before the surgery.
Thanks to our flexible payment methods, you can get into surgery quickly and, for example, pay for the surgery in instalments.
If you are an insurance or occupational health care customer, we will provide you with the necessary documents to clarify matters related to payment commitments and reimbursements with your insurance company or occupational health care before the surgery.
