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Adrenal ganglioneuromas are rare benign and non-secretory neoplasms that, in the majority of cases, are unexpectedly discovered during imaging studies. In this study, we reported a large adrenal ganglioneuromas in a young patient, clinically presented as a pheochromocytoma. Laboratory evaluation and tumor markers were also report- ed in the normal range. The mass was then resected through laparoscopy. Ultimate- ly, histopathology revealed the diagnosis of Ganglioneuroma. Large adrenal gangli- oneuromas can be resected laparoscopically without any complications. An accurate pathological examination is usually essential for definitive diagnosis. Prognosis of ma- ture adrenal ganglioneuromas is excellent.