The situation of municipal solid waste (MSW) management in Pakistan and China was analyzed. In Pakistan, neither MSW collection nor disposal is effective due to the lack of institutional, administrative and financial arrangements. The MSW collection rate is about 60% and remainder 40% is leftover either in streets or vacant plots. Pakistan requires an economic and sustainable technology to achieve prompt solution for MSW collection and disposal problems in the country. Whereas, China has shown a progressive improvement in MSW management. Landfilling is a predominant and cost-effective method of MSW management in China. Also it has been revealed that MSW in China is treated by incineration. Whereas, there is neither engineered landfill nor any waste-to-energy treatment facility in Pakistan. Additionally, this study suggests a future potential investment in the waste management sector under the China Pakistan Economic Corridor project.