 The review provides an overview of modern methods used to diagnose and treat liver echinococcus, key, including the frequency of occurrence, diagnostic techniques, surgical interventions, and preventive measures. Despite advances in surgical techniques, the risk of postoperative complications and relapse remain high. There is currently no consensus on the best approach to access the cyst, with different approaches being used depending on its location. Additionally, the effectiveness of surgical treatment is limited due to unanswered questions about the nature and extent of surgery while processing, drainage, and prevention of biliary fistuli. This article was authored by Shsh Aminov, D.A. Rakhmanov, Zsh Faizev, and others.