A successful pregnancy three years after bilateral adrenalectomy due to Cushing’s syndrome secondary to Carney complex in a 28 year-old nulliparous woman was obtained and followed up with a meticulous multidisciplinary management. Fludrocortisone dose was stable throughout pregnancy but prednisolone dose was increased 1.5 times at third trimester.Sign and symptoms of neither hypo/hypercortisolism nor electrolyte imbalance were noted during pregnancy. A healthy male infant was delivered at gestational weeks of 37 by cesarean section. Maternal and fetal successful outcomes could be obtained with multidisciplinary management in cases which undergone bilateral adrenalectomy secondary to primary pigmented nodular disease (PPNAD).