Highlights	Class of Recommendation	Level of Evidence
•Hypokalemia and/or severe hypertension during pregnancy, especially before week 20, should raise suspicion of PA.	I	B
•Diagnosis is based on high ARR values and can be confirmed by testing for FH or by MRI.	I	B
•If the diagnosis of APA is already known surgery is recommended before starting pregnancy.	IIb	B
•When BP is not controlled with treatment, laparoscopic adrenalectomy is preferred in APA patients during the second trimester and MRAs might be added only if hypertension is uncontrolled.	IIa	C