Ureteropelvic damage is the most frequently reported serious complication of conventional chemical lumbar sympathectomy or CLS. Although it is relatively rare, it is very harmful to patients. This protocol aids in the precise delivery of the activ
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We present a protocol for selective chemical lumbar sympathectomy (CLS), which inactivates only gray rami communicantes and not the sympathetic trunk. Selective CLS can help achieve therapeutic efficacy in vasodilation, sweat reduction, and pain relief that are comparable to conventional CLS, and serious complications, particularly ureteropelvic damages, can be reduced.