The municipal solid waste (MSW) generation rate is being accelerated in China. Problems encountered in waste management are particularly serious in small and medium-sized towns. Pulandian as a typical medium-sized town in China is investigated in the paper. The daily amount of MSW generated in urban district of Pulandian in 2008 was 0.95 kg/capita, which is comparable to that of some big city in China. Characteristics analysis on MSW was also carried out. The current status of MSW collection, recycling and transportation was introduced and the problems were identified. The MSW treatment and disposal in Pulandian has caused serious contamination. The new MSW treatment plant using integrated disposal technology and transport centre for reduction and recycling of MSW under construction is preferred.