|Lesotho (Ministry of Tourism, Environment and Culture)’s responses to the needs assessment survey show, above all, a need to develop policies and the technical capacity for waste management. From a waste stream-centered perspective, waste management laws in the country are in various differing stages of development. While a healthcare waste policy was developed in 2010, no regulations exist for general hazardous waste. Policymaking and enforcement thus need to be strengthened. In terms of technical capacity, the country also needs to build its waste management infrastructure and make clear guidelines available for each waste stream. The responses finally suggest that in order to carry out such improvements, governmental and societal interest in waste management must be increased. Policies, such as those for industrial waste and MSW, have not been enforced when institutional priorities are different. The segregation of organic and plastic waste from MSW also does not interest stakeholders.