Objective: Thoracic hydatid cysts represent a significant clinical challenge, particularly in endemic regions like Morocco. This retrospective study conducted at Ibn Rochd University Hospital in Casablanca aimed to elucidate the clinical characteristics, management strategies, and outcomes of 63 patients with complicated thoracic hydatid cysts. Results revealed a predominance of rural background among patients, with a mean age of 42 years. Clinical presentations varied, with common symptoms including hydatid coughing and complications such as bronchial and pleural rupture. Radiological investigations, including chest X-rays and computed tomography scans, demonstrated typical features of thoracic hydatid cysts. Treatment modalities comprised surgical intervention and medical management, with favorable outcomes observed in most cases. Discussion encompasses the endemic nature of thoracic hydatidosis, radiological appearances, complications, and challenges in management. Emphasis is placed on the importance of comprehensive approaches, including surgical techniques, medical therapy, and preventive measures, in addressing this formidable pathology. The findings underscore the need for continued research and public health initiatives to optimize the management and prevention of thoracic hydatid cysts.