In recent years, urological laparoscopic techniques have been rapidly developed and perfected, and the scope of laparoscopic surgery has involved all aspects of urology and male reproductive surgery. Laparoscopic surgery has incomparable advantages of traditional open surgery, such as aesthetics, less damage and faster recovery. There are usually two types of urological laparoscopic approaches, namely transabdominal and retroabdominal. The transabdominal approach has the advantages of time-saving and safe establishment of the cavity, fixed and clear anatomical position, open surgical field, orderly and well-defined anatomical access. However, this approach interferes with the abdominal organs because of entering the abdominal cavity, and it takes a long time for patients to recover from postoperative pain, bed activity, and gastrointestinal function. The retroperitoneal approach has the advantages of direct access, no interference with the abdominal cavity, rapid postoperative patient recovery, and familiarity with the anatomical relationships of the urologist, but the disadvantage is the small space for surgical operation and the lack of obvious control signs. My experience is that the appropriate route is best chosen based on the patient’s specific condition and the physician’s technical mastery. Laparoscopic adrenal surgery has now become the “gold standard” of adrenal surgery. It has been used to remove non-functioning adrenal adenomas, primary adrenal aldosterone adenomas, and adrenal pheochromocytomas. It is generally believed that laparoscopic surgery is suitable for adrenal tumors less than 6 cm in diameter. However, with the accumulation of experience in laparoscopic surgery, large volume tumors are no longer a contraindication to surgery. Preoperatively, the relationship between the tumor and the inferior vena cava, abdominal aorta, suprarenal pole, renal vessels and liver is mastered based on the imaging data, and the surgical plan is formulated. Intraoperatively, care should be taken to avoid tearing the central adrenal vein and damaging the inferior vena cava wall. The lower located adrenal tumors require attention to the perinephric vessels. Different types of functional adrenal tumors require appropriate preoperative preparation. Aldosterone adenoma has clinical features such as low potassium and high blood pressure, so electrolyte disorders should be adequately corrected and high blood pressure controlled before surgery. Because pheochromocytoma is rich in blood vessels and the operation has a large impact on blood pressure and heart rate of patients, laparoscopic technique for adrenal pheochromocytoma is somewhat controversial. With the improvement of laparoscopic techniques and instruments, pheochromocytomas are now selectively included in the scope of laparoscopic surgery. Only with adequate and effective preoperative hypotension and dilation, and avoiding excessive compression of the tumor during surgery, can we reduce the dramatic intraoperative blood pressure fluctuations and ensure intraoperative and postoperative safety.