Similar to other least developed countries, little effort has been put in carrying out research on the issues of solid waste management (SWM) in Nepal. This chapter is intended to establish some of the urban SWM perspective for the municipalities through qualitative and quantitative surveys, interviews and data collection from 58 existing municipalities in Nepal. The chapter include information on the per capita waste generation, existing collection, transportation and disposal facilities, institutional arrangement and resources allocation for SWM in Nepal. Ultimately, the key outcome of this chapter is a diagnostic report on SWM in Nepal with highlights on key issues, challenges and the way forward. It is anticipated that it will serve as key reference document on the sector in Nepal as well as the South Asian region.