According to the basic characteristics of municipal solid waste generated from medium or small city of China, the optimal management principles and programs for optimization management model suitable to them were put forward. By application of the model in case study, the optimal scenarios for the disposal of municipal solid waste from the planning system in 1999, 2005 and 2010 were calculated, which adequately validated and accounted for the advantages of optimization model by comparison of costs between optimization scenarios and former scenarios.