Phaeochromocytoma during pregnancy is rare and life-threatening to both mother and fetus (1). Pregnancy leads to diagnostic difficulty, whereas early diagnosis and appropriate management improves the prognosis (2). Only a few hundred cases managed during pregnancy have been reported and, as far as we know, there are no publications of bilateral tumour managed during pregnancy. We report a pregnancy complicated by bilateral phaeochromocytoma managed during a triage situation in Sri Lanka.