Background: Hydatid disease is a zoonotic disease caused by larval stages of echinococcosis and the lung is the second most commonly affected organ. Bilateral pulmonary hydatid is not that rare. Aims and Objective: To study the clinical profile and management of bilateral hydatid lung. Material and methods: All patients with bilateral pulmonary hydatid disease operated in the department of CVTS SKIMS between 2017 and 2020 were included in the study. Total of 18 patients with bilateral pulmonary hydatid cysts were operated during this period. Conclusion: Bilateral one-stage mini thoracotomies are very much safe and acceptable with regards to morbidity rates and duration of hospital stay for the treatment of bilateral hydatid lung.