Hypertension is a common disease and most patients can keep their blood pressure within the desired range by taking regular oral medications. In some patients, blood pressure remains high despite taking several anti-hypertensive medications or episodes of hypertension, with systolic blood pressure reaching 180 mmHg or more, and these patients need to consider the presence of adrenal gland disease. The common adrenal diseases that cause intractable hypertension are primary aldosteronism and pheochromocytoma. Both of these diseases can be detected in the adrenal gland by imaging such as ultrasound and CT, at which time a visit to the urology department is required and blood is drawn to complete functional tests of the adrenal gland. Before the surgery, oral medication is needed to control blood pressure and to prepare for the surgery. Once the preoperative preparation is complete and all physical parameters are met, laparoscopic surgery is performed to remove the mass. Laparoscopic surgery is less invasive, less painful and quicker to recover. The surgery can be completed with three small holes in the waist and does not affect the postoperative aesthetics.