Pheochromocytomas rare neuroendocrine tumors that arise from chromaffin–cells in the adrenal medulla. Pheochromocytomas have an estimated prevalence of up to 5% of adults presenting with adrenal incidentalomas Reported is a case of a 54 Year old patient admitted with, Excessive sweating and giddiness for 20 days,Lower urinary tract symptoms for 15 days, LAB INVESTIGATIONS showed: NorepinephrineLevel:2690 picogram/ml, Metanephrine level:1276 picogram/ml, 24 hour VMA level:16.8mg/24 hours, Sr. Cortisol level:0.4 Microgram/DeciLitre .On examination Blood pressure was raised. Rest examination was normal. RBS–234mg/dl. USG(A+P) –consistent with Pheocromocytoma .CT scan revealed ? Pheocromocytoma. PET Scan showed left supra–renal mass compatible with Pheocromocytoma. Preoperatively the patient was given Alpha and Beta blockers for 7 days Intraop the patient was on phenoxibenzamine drip.Laparoscopic left adrenalectomy was performed. Postoperatively;B.P and RBS was normal.