Haven’t received a greeting card in a long time? It was back in the 90s. A few days ago, a patient with right adrenal adenoma and primary aldosteronism, X-Ying Liao, sent me a card thanking me for the minimally invasive laparoscopic surgery that cured her hypertension and hypokalemia. It was a pleasant surprise. I put it away, pressed it under the glass plate, and looked, after every exertion, a little more relieved. There is a sense of nostalgia, and the card has a different flavor compared to all the thank you expressions inside the phone. Adrenal disease is a gift from God to minimally invasive urologists. The reason is that adrenal disease can maximize the advantages of minimally invasive surgery. Fine dissection, less interference, small incisions, and discharge in two to three days after surgery. Just last week, a patient with pheochromocytoma from Nanshan was discharged. The preoperative endocrine examination suggested that the possibility of pheochromocytoma was small. However, the endocrinologist of Nanshan Hospital, based on the fact that she had paroxysmal elevation, speculated that it was pheochromocytoma. Because the tumor was 4 cm in diameter and had a liquefied dark area in the middle, malignancy could not be ruled out. We did not prepare specifically for dilation, naturally, controlling blood pressure, blood sugar, was well prepared. Intraoperatively, the blood pressure was stable because of the laparoscopic operation. Postoperatively, the pathology suggested pheochromocytoma. I was a little surprised. If it were a traditional open surgery, it would be pulling and squeezing again. Blood pressure, I guess, is going to play a roller coaster. The anesthesiologist, is going to be exhausted. Adrenal disease and renal cysts are the best indications for urological laparoscopy. With the development of minimally invasive laparoscopic surgery. The knowledge of anatomy has deepened and the operation has become more delicate. Nowadays, radical kidney cancer surgery. A year ago, it felt open and minimally invasive almost. Because the specimen was taken, there was also a 10 cm incision. Now, I find that it is completely different. In open surgery, there is always an incision of 10 cm or more open and stretched. Minimally invasive, it is the last incision to be extended. The previous surgical operation was always a delicate operation. Because of this, any rough operation makes it impossible to continue the minimally invasive surgery. No wonder, we did a patient with right kidney cancer, bone metastasis, and palliative resection of the right kidney, and on the first day after surgery, he was able to walk on the ground.