Common adrenal disorders include cortisolism (Cushing’s syndrome), primary aldosteronism, and pheochromocytoma. Clinical manifestations of all three include persistent or paroxysmal hypertension, hypokalemia, centripetal obesity (e.g., full-moon face, buffalo back, hanging abdomen), increased blood glucose, palpitations, headache, purplish skin, sodium retention, and gonadal dysfunction. Patients with several of these symptoms and manifestations at the same time, especially those with sudden or young hypertension, require routine ultrasound or CT examinations to rule out adrenal occupations. Renal cysts are also more common in clinical practice. Larger or multiple cysts can compress the renal parenchyma and thus affect renal function. Once a patient is diagnosed with adrenal disease or renal cysts, surgical treatment is often required. The adrenal glands and kidneys of the urinary system are located in the retroperitoneum, and because of their location deeper from the body surface, traditional open surgery requires a surgical incision of up to 15-20 cm in the lower back or abdomen. Not only does it affect the patient’s appearance, it also cuts off large muscles and some nerves during surgery, causing postoperative wound numbness, pain, and even incisional hernia. Laparoscopic surgery is less traumatic and results in faster postoperative recovery because only 3-4 small 0.5-1 cm diameter holes are made in the body surface. It is also more precise and less damaging when separating and dissecting the surgical organs because of the laparoscopic magnification of the blood vessels, nerves, fascia and other structures during surgery. Posterior laparoscopy also avoids postoperative complications such as intestinal adhesions, intestinal obstruction, and intestinal injury because it does not pass through the abdominal cavity. Laparoscopic surgery for adrenal disease and renal cysts can achieve similar or better results than traditional open surgery with significantly less trauma, and has become the gold standard in the treatment of these diseases both nationally and internationally.