ObjectiveTo realize the real status of medical waste management in some regions of China , so as to provide reference for rational management. MethodsSixtyfour hospitals in 8 cities were as study subjects , questionnaire, indepth interview and field visit were adopted.ResultsNo hospital had the independent department in charging of medical waste, 47 hospitals (73.44%) were charged by a certain department and 17 (26.56%) by multisectors. The most complete system was the transfer registration system (97.92%, 47/48) and the least complete systems were training (20.83%,10/48) and inspection system (18.75%,9/48). 45 hospitals (70.31%) had complete training content, and general hospitals were more complete than specialized hospitals; 29 hospitals (45.31%) had full protective equipments；64 hospitals (100.00%) collected medical waste with yellow bags; 49 hospitals (76.56%) provided all necessary transferring equipment and facilities ; 60 hospitals (93.75%) had temporary stations; 51 hospitals (79.69%) use the centralized disposal method.ConclusionHospitals need to set up a special department for medical waste management, internal system and external supervision should be unified, training and occupational protection should be improved, and the process of medical waste management should be standardized .