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There are 3 therapeutic modalities to treat cystic echinococcosis: chemotherapy, surgery (classic or laparoscopic), PAIR technique (puncture, aspiration, injection, and re-aspiration), with the latter two being performed with or without chemotherapy. We present the case of of a 17-year-old female, with a 6-month-old caesarean section in her medical history, diagnosed, by another medical facility, with a hepatic hydatid cyst, who presents with pain in the right hypochondrium, nausea and vomiting. The ultrasound examination revealed a cystic mass in the fifth hepatic segment, on the visceral surface, which compresses the right branch of portal vein and the gall bladder. It was decided to perform a Lagrot cystectomy under general anesthesia with orotracheal intubation. The pacient received albendazole postoperatively, knowing that the patient will continue breastfeeding, because this treatment can be safely administered due to the reduced concentration of the active metabolite in breast milk.