Adrenal hyperplasia does not necessarily require surgery, and it should be decided according to whether the tumor is functional or not, the nature and size of the tumor, and the patient’s physical condition to decide whether surgical treatment can be performed. 1. If the adrenal hyperplasia is benign and does not secrete cortisol hormone and does not cause obvious clinical symptoms, surgery is generally not necessary and only observation and follow-up are required. 2. If the adrenal hyperplasia is malignant or the adrenal hyperplasia secretes too much cortisol hormone, which leads to high blood pressure, low blood potassium and other manifestations, or the benign adrenal hyperplasia forms a huge mass that compresses the surrounding organs and tissues and causes the patient’s discomfort, the patient needs to undergo surgical treatment. 3. If the patient’s basic condition is poor and physiological function is weakened and combined with other serious diseases, even if surgical treatment is needed, surgical treatment is not suitable. Therefore, patients with adrenal hyperplasia should go to regular hospitals in time for further examination and regular treatment under the guidance of doctors.