The most effective surgical method for removing adrenal gland cancers is laparoscopic adrenalectomy (LA). Twenty years after its initial description in the literature, the method continues to provide better perioperative and operational results than the open adrenal gland approach. In addition to facilitating quicker patient release and resumption to normal activities, these have enhanced cosmesis, decreased postoperative discomfort, and decreased morbidity. Research has shown that LA is a safe and effective treatment option for a variety of adrenal disorders, including primary and secondary adrenal cancers, pheochromocytoma, Cushing's syndrome, Conn's syndrome, and both functional and non-functional adrenal incidentalomas. We detail the history and current state of the adrenal gland laparoscopic transperitoneal technique.