<prompt> During bilateral adrenalectomy, intra-operative dose of hydrocoisone should be given afterOpening the abdomenLigation of left adrenal veinLigation of right adrenal veinExcision of both adrenal glands  <response>: Steroids are not given pre-operatively because these patients are already hypercoisolemic. Instead hydrocoisone 100 mg IV is given after the removal of second hyperplastic adrenal gland 