(1) Objectives: The aim of this study was to compare CO2 Fractional Laser and pulsed dye laser (PDL) methods in the treatment of hypertrophic scar. (2) Design: This is a double-blind clinical trial. (3) Procedure: Statistical population included patients visiting the skin clinic and clinically diagnosed with hypertrophic scar. (4) Inclusion and exclusion criteria: Patients with hypertrophic scar who were not undergoing any other treatment at the same time, and had no history of taking isotretinoin and pregnancy in the past six months were included in the study. (5) Interventions: The scars were split into two halves. Then, one half of each scar was randomly selected for laser therapy with CO2 fractional laser (CO2FL), and the second half received pulsed dye laser therapy (PDL). The therapeutic sessions were held every 4 weeks. (6) The main outcome variables: Improvement of scars was studied using three different evaluation methods. First, the degrees of pigmentation, flexibility, height, and vascularity of lesions were measured based on the Vancouver scar scale before the treatment and at each visit up to 4 sessions. Second, the treatment results were assessed by comparing clinical photographs before and after the treatment, using a 4-point grading scale. Third, patients were asked to rate their personal satisfaction of the treatment on a 4-point grading scale at the end of each session. Finally, the effects of these two laser therapies were compared, using the aforementioned scales.