Hydatid cyst is a zoonotic disease caused by larval stage of Echinococcusgranulosus which leads to cyst formation commonly into the liver. The present study was conducted to assess surgical treatment and outcome of hydatid cyst. Materials & Methods:46 cases of hydatid cysts of both genders were included. Patients were divided into 2 groups of 23 each. Group I were treated with radical surgery and group II with conservative surgery. Parameters such as symptoms, size, depth and recurrence etc. was recorded. Hepatic hydatid cysts were classified as per WHO classification. Results: Group I had 13 males and 10 females and group II had 12 males and 11 females. Symptoms recorded were jaundice in 11 and 15, pain in 23 and 23, fever in 9 and 5, lump abdomen in 11 and 14. Location was right lobe in 10 and 8, left lobe in 7 and 6 and both in 6 and 9 in group I and II respectively. Type of cyst was CE1 in 3 and 4, CE2 in 5 and 6, CE3 in 13 and 10 and CE4 in 2 and 3 in group I and II respectively. Depth of cyst was deep/central in 5 and 11 and peripheral/superficial in 18 and 12, size (cm) of the cyst was 10.5 cm and 10.2 cm in group I and II respectively. The difference was significant (P< 0.05). Management performed was omentopexy in 7 and 12, ext. drainage in 5 and 6 and no drainage in 11 and 5 in group I and II respectively. Complications were cholangitis in 1 and 2, intraabdominal abscess in 2 and 1 and surgical site infection in 1 and 0 in group I and II respectively. Postoperative recurrence was seen in 2 in group II. The difference was significant (P< 0.05).