Introduction: Adrenal myelolipoma is a benign neoplasm composed of mature adipose tissue and scattered islands of hematopoietic elements. Although the true incidence of these tumors is unknown, the incidence estimated to be is quite less. These lesions are usually unilateral and asymptomatic and are very rarely found as bilateral tumors. Aims and objectives: To present a rare case of “Symptomatic Bilateral Adrenal Myelolipoma”. Materials and methods: A 53-year-old woman presented with complaints of pain abdomen for 6 months. Physical examination was unremarkable. Computed tomography (CT) scan of the abdomen revealed a well-defined, round lesion bilaterally with heterogeneous attenuation suggesting the possibility of myelolipoma. The patient was subjected to bilateral adrenalectomy and the bilateral adrenal masses were sent for histopathological examination. Results: The histopathological evaluation of masses confirmed the diagnosis of bilateral adrenal myelolipoma. Conclusion: Although mostly discovered as an “incidentaloma”, the diagnosis of adrenal myelolipoma warrants through diagnostic study. Surgical resection is the mainstay as it prevents complications, such as spontaneous rupture and hemorrhage of the mass.