Echinococcosis is a zoonotic disease commonly known, as hydatid disease is endemic in India and mostly caused by Echinococcus granulosus. Hydatid cyst most commonly involves liver followed by lungs with a frequency of 60% and 20–30% respectively. Rarely, it can primarily involve pelvic organs in females such as uterus, ovaries, fallopian tubes etc. either separately or sometimes together, which may mimic malignancy and create diagnostic dilemma. Till date, around 30 case reports of primary fallopian tube hydatid disease are reported, however none of them mentioned bilateral involvement. Herein, we report a case of bilateral fallopian tubal hydatid disease in a 45-years-old female presented with a 4 months history of lower abdominal pain and abdominal distension with review of literature