Abstract: Minimally invasive approach has been the gold standard therapy for adrenal tumor since1992. The improvements of endo -crine test and radiographic options that are used to evaluate adrenal lesion relevance ratio have promoted the diagnosis and treat -ment. Future research may focus on secondary hypertension screening, subclinical situation of functional adrenal tumor, and differen-tial diagnosis through imaging tests and other methods. Subclinical hypercortisolism and the relationship between incidentaloma and metabolism should be given particular importance. Laparoscopic adrenalectomy has become the gold standard approach for adrenal benign tumor treatment. The indication for usage of this approach has extended and included adrenal carcinoma (tumor size ranging within 6- 10cm) and pheochromocytoma larger than 6 cm. Partial adrenalectomy mainly depends on surgeon's experience. In addi -tion, the perioperative period of minimally invasive surgery need further research. This paper reviews related studies.