Background & Objectives: The most common parasitic lung disease is echinococcosis, and usually young male patients suffer from this disease. Lung involvement is more common in children, and it is important to consider this involvement as a diagnosis. Anesthesia and surgical management are always challenging for both Anesthesiologist and surgeon. 

Case: In this case we report successful anesthetic and surgical management of a giant hydatid cyst in the lung of an eight-year-old boy.

Conclusion: Successful anesthetic management during hydatid cyst surgery of lung in pediatrics using cuffed endobronchial tube is possible if the anesthesiologist and the surgeon are swift, well-coordinated, and synchronized.