”I am very grateful to the Department of Urology of the Third Xiangya Hospital for giving me a second life.” Mr. Zhang, who had been hospitalized in the Department of Urology of the Third Xiangya Hospital, was particularly excited after a detailed return review revealed no abnormalities. 2 months ago, the Department of Urology of our hospital successfully performed laparoscopic minimally invasive resection of bilateral adrenal pheochromocytomas and preserved normal adrenal tissue. Currently, the patient’s blood pressure has returned to normal and adrenal function has not been affected. Mr. Zhang, 35, from Shaoyang City, Hunan Province, suddenly developed headache and palpitations a week ago, and his blood pressure was 200/110 mmHg. Pheochromocytoma is a medullary tumor of the adrenal gland, with a unilateral incidence and a bilateral incidence of only about 10%. The clinical manifestations are paroxysmal hypertension, increased heart rate and other symptoms. If left untreated, patients may develop hypertensive crisis, cerebral hemorrhage, or even life-threatening. In the past, the surgical mortality rate of this disease was high unilaterally, not to mention that this patient had pheochromocytoma bilaterally, so the risk of surgery can be imagined. The mass on the right side of the patient is large and close to the inferior vena cava, so a slight inadvertence during surgery may damage the large blood vessels and lead to life-threatening hemorrhage; at the same time, blood pressure may fluctuate significantly during surgery, and too high or too low blood pressure will endanger the patient’s life; furthermore, there is almost no normal adrenal tissue on the right side of the patient, and the normal physiological function of the patient is maintained by some adrenal tissue on the left side. If the blood supply of the normal gland is damaged during the surgery or too much normal glandular tissue is removed, the patient will have low adrenocortical function after the surgery and will have to take hormone supplements for the rest of his life, and his life will be in danger at any time. On April 2, 2007, Prof. He performed a laparoscopic resection of bilateral adrenal pheochromocytomas via the abdominal route, preserving both adrenal tissues intact. The operation lasted 3 hours, and the patient’s general condition was fair during the operation without blood transfusion. Postoperatively, the patient’s blood pressure returned to normal and the serum cortisol was not abnormal on rechecking. At present, laparoscopic technique has been widely carried out in the Department of Urology to treat adrenal tumors. It is reported that the case of bilateral adrenal pheochromocytoma resected by laparoscopic transabdominal pathway has not been reported in Hunan Province.