Adrenal leiomyoma is a rare tumor. Bilateral adrenal leiomyoma is even rarer. Most of the patients with adrenal leiomyoma are asymptomatic. Hence, it was found incidentally most of the time. Some of the patients with huge tumor might complain of abdominal pain, fatigue or weigh loss. In this study, we report a middle-aged gentleman with bilateral huge adrenal leiomyoma, who presented with recurrent episodes of syncopal attack due to hypoglycemia.