The adrenal glands description and its physiology were described 500 years ago. In 1850, Thomas Addison1 and Charles Brown–Sequard2 proved the mineral and cortical function and described the adrenal disorder and its surgical management. Adrenal tumours can be benign and malignant lesions. These tumours can be either functional or nonfunctional. Malignant lesions can be primary or extra adrenal. Adrenal tumors incidence is rising due to increased use of imaging modality in current era. Adrenal tumours can be asymptomatic or symptomatic in the form of tumour related or functional. These tumours are removed surgically in view of risk of malignancy and hormonal disturbances.3 Even with the functional study and advanced imaging, preoperative diagnosis is always challenging and histopathology remains the gold standard for diagnostic confirmation. We present a retrospective analysis of adrenal tumours treated in past 2 years in our unit. A sincere effort has been made to study the adrenal swellings and to find out the most common pathologies associated