04/28/2026
If you’ve been diagnosed with , and your treatment team has advised you to undergo surgery, you may have questions.
According to major society guidance, primary hyperaldosteronism is one of the most common—and treatable—causes of hypertension or high blood pressure. Some patients are candidates for surgery and others are treated with medications. If you are a surgical candidate, some important answers:
🔹 Blood pressure medications: Will I be cured?
Sometimes—but not always. For patients with a single overactive adrenal gland (also known as unilateral disease), which may be confirmed after an adrenal venous sampling, surgery directly treats the cause. Current literature reports the majority of patients receive clinical benefit, often needing fewer medications or lower doses. Even if you don’t come off every medication, your blood pressure is often easier to control while also improving quality of life.
🔹 Potassium supplements: Can I stop that?
Usually yes. Primary hyperaldosteronism causes the body to lose potassium. When the source of excess aldosterone is removed, potassium levels typically normalize after surgery and supplemental potassium is often stopped entirely.
Overall, many patients don’t just feel better after treatment—they finally understand why their blood pressure was so hard to control in the first place. Surgery often helps treat both symptoms and the cause.
✔️ Remember to ask your care team:
• Is my disease unilateral (surgical) or bilateral (medical)?
• How will we monitor my potassium and blood pressure after treatment?
• What are my chances of reducing or stopping my medications?
