For a quantum Markov semigroup T on the algebra B(h) with a faithful invariant state ρ, we can define an adjoint T with respect to the scalar product determined by ρ. In this paper, we solve the open problems of characterising adjoints T that are also a quantum Markov semigroup and satisfy the detailed balance condition in terms of the operators H,We study the adjoint semigroup with respect to both scalar products a, b = tr(ρa * b) and a, b = tr(ρ 1/2 a * ρ 1/2 b).