Increasing the number of surgically cured primary aldosteronism patients: The promise of simplified diagnosis and advanced nuclear adrenocortical imaging

•Primary aldosteronism is a common and curable surgical endocrinopathy in many cases.•Surgery for unilateral adrenal aldosteronism is associated with a reduction in cardiovascular and all-cause mortality.•Barriers to surgery include infrequent screening, cumbersome biochemical testing protocols and limited access to adrenal vein sampling.•Recent research results envisions a new paradigm with greatly simplified testing and nuclear adrenal imaging.