In Pakistan the proper management of solid waste is decisive to the health and well-being of urban inhabitants. In most cities of Pakistan, several tons of garbage is left uncollected on the streets and open areas each day, which becomes the sources of a feeding ground for pests and insects that spread environmental hazardous and disease, clogging drains and creating a myriad of related health and infrastructural problems in city. There is a dire need to play an important role in formulating an environmental policy that boost up effective and efficient solid waste management practices in Pakistan. Proper management of solid waste would improve local government effectiveness and efficiency, and well established MSWM mechanism will reduce health diseases in Pakistan.