Aim: This study aimed to evaluate the clinical characteristics, treatment outcomes, and patient satisfaction following surgical interventions for cystic swellings of the scrotum, including hydroceles, epididymal cysts, and spermatoceles. Materials and Methods: The study was conducted during January 2022 to July 2022 at Jawaharlal Nehru Medical College & Hospital, Bhagalpur, Bihar, India. A prospective observational clinical study was conducted in 200 male patients with cystic swellings of the scrotum. Patients underwent clinical examination, ultrasonography, and routine laboratory investigations. Surgical treatments, including hydrocelectomy and cyst excision, were performed, followed by postoperative monitoring for complications and patient satisfaction, assessed at 6-month follow-up. Results: Hydrocele was the most common type of swelling, observed in 60% of cases, followed by epididymal cysts (30%) and spermatoceles (10%). Scrotal pain (70%) and swelling (90%) were the most frequently reported symptoms. Postoperatively, 85% of patients experienced no complications, with scrotal edema (6%), infection (5%), and hematoma (4%) being the most common complications. Patient satisfaction was high, with 75% of patients being very satisfied with the outcome of their surgery. Conclusion: Surgical interventions for cystic swellings of the scrotum, particularly hydrocelectomy and cyst excision, are effective with minimal complications. Early diagnosis and appropriate treatment improve patient outcomes and quality of life, as evidenced by the high rate of patient satisfaction.