Hepatic hydatid disease, caused by Echinococcus granulosus, remains a significant surgical concern in endemic regions. While open surgery has traditionally been the standard approach, laparoscopic techniques are increasingly being utilized with potential advantages in recovery and complication rates. Objective: To compare laparoscopic versus open surgical treatment in the management of hepatic hydatid cysts with respect to postoperative hospital stay and wound infection rates. Study Design: Comparative cross-sectional study. Setting: Conducted at a tertiary care hospital, the General Surgery Department of Lady Reading Hospital, Peshawar, Pakistan. Duration of Study: 11-Novemeber-2023 to 11-May-2024. Methods: A total of 94 patients aged 30 to 80 years with ultrasound-confirmed hepatic hydatid cysts were included and equally divided into two groups: laparoscopic surgery (Group A) and open surgery (Group B). Postoperative hospital stay duration and wound infection rates were recorded. Dat