Laparoscopic surgery has continued to evolve as a primary treatment approach for a number of conditions. In addition to the extensive work that has been published in the area of laparoscopic donor nephrectomy and prostatectomy, investigators have explored early release from the hospital after laparoscopic adrenalectomy. Indy Gill and associates reported on 9 patients who underwent "outpatient laparoscopic adrenalectomy" at the Cleveland Clinic (Gill et al., 2000.) Almost all patients had aldosteronomas and the average tumor size was 2 cm. Only one complication developed, a local abscess treated two weeks postoperatively. Hand assisted laparoscopic and open surgical live donor nephrectomy were compared in another study (Wolf et al., 2000.) The laparoscopic approach was found to be safe and effective, with progressively decreased operative time in the hand-assisted approach within the first 10 cases, suggesting a short learning curve.