Fifteen patients with benign adrenal tumors underwent laparoscopic adrenalectomy for the following indications: six pheochromocytomas, four adenomas, two Cushing's syndromes, one hematoma, one myolipoma, and one Conn's syndrome. Fourteen of 15 procedures were completed laparoscopically. The average blood loss was 300 ml; the mean operative time was 150 min. In the hands of a laparoscopically experienced surgeon, laparoscopic adrenalectomy is a safe and effective procedure involving minimal morbidity. With the accepted indications for removal of benign adrenal tumors, laparoscopic adrenalectomy is our therapy of choice.