Introduction: Hydatid disease has a worldwide distribution and commonly seen in sheep rearing areas. Tapeworm of genus Echinococcus is the parasite causing the disease. The most common site of involvement is the Liver. Treatment options are medical therapy, percutaneous drainage, or surgical intervention. Objective: Assessment of the outcome of either laparoscopic or open surgical treatment of liver hydatid cyst. Patients and methods: 48 patients with liver hydatid cysts underwent either laparoscopic or open surgical approach under cover of albendazol therapy. Both were divided in two groups according to the procedure done. The data collected were demographic data, Laboratory results, Radiological tests, type of surgical internvention, and post operative data. Results: The study involved 25 male and 23 females with a mean age of 36.76. Twenty patients (41.66%) had laparoscopic approach and 28 patients (58.34%) had open approach. Forty sex patients had one cyst and 2 patients had 2 cysts (P-value= 0.787). According to type of Operative Procedure: Deroofing was done in 38 patients, while Resection was done in 8 patients. Only 2 patients had Peri-cystectomy. With respect to Packing of the cyst with omentum, it was applied in 23 patients of open approach group and 9 patients of laparoscpic approach group (P-value= 0.013). The mean time of operation in the laparoscopic group was 74.75± 18.67 minutes while in the open group was 92.24±20.94 minutes (P-value=0.004). Conclusion: Hydatid Cystic lesions of the liver can be treated either by Laparoscopic or open surgical techniques with similar outcomes but with superiority of the laparoscopy due to less operative time and hospital stay. Keywords; hepatic hydatid cyst, laparoscopy, deroofing, recurrence.