|Healthcare waste management is ranked as the highest priority need for capacity-building in Nepal. The responses suggest that healthcare waste is often disposed alongside municipal solid waste (MSW). Waste segregation is neglected by the majority of healthcare institutions, as well as during transportation and disposal. The development of specific regulations dealing with the waste stream is therefore a clear priority. The existing law, the Healthcare Waste Management Guidelines (2009), is not comprehensive, and its enforcement by local authorities is rare. Technical education and public awareness campaigns at grassroots level is also needed. Financial resources will also have to be made available so as to facilitate public campaigns and the procurement of waste treatment technologies, especially as the country does not have specific landfills for healthcare and hazardous waste. Therefore, an overall improvement in healthcare waste management is needed, with a focus on the enactment of a clear healthcare waste policy.