Hospitals play a crucial role in providing healthcare services, but the generated medical waste can pose health risks and harm the environment if not properly managed. Medical waste consists of various types, including syringes, chemicals, infectious waste, and unused pharmaceutical waste. If not properly managed, these medical wastes can pose health risks to patients, healthcare workers, and damage the surrounding environment. This research adopts a qualitative approach, conducted at Dr. Pirngadi Regional General Hospital in Medan City. The research was conducted from March to June 2023. The primary data source for this research was obtained through interviews with seven informants who are cleaning service personnel working at Dr. Pirngadi Regional General Hospital in Medan. The research findings indicate that the management of medical waste in the hospital involves sorting, transportation, and disposal stages. Medical waste is sorted using yellow-colored trash bins and then transported to temporary disposal sites using covered trash bins. The disposal of medical waste is carried out through incineration at a temperature of 1200ÂșC. The developed medical waste management system is expected to serve as a reference for other hospitals in improving the effectiveness and efficiency of medical waste management while maintaining environmental cleanliness and public health.