High doses of medical waste evidence that health waste management is problematic. A case study was conducted at various health institutions. This research analyzes various issues in the area of medical waste management. The research examines the perception of staff regarding medical waste management. The purpose of the study is to investigate the level of knowledge, attitudes and role of health practitioners in the management of medical waste. Here the quality index and the environmental index of two health centers are studied; one is a private hospital and the other one a state hospital and compares these two indices with a questionnaire. To provide environmentally friendly services, customers and environmental criteria have to be taken into account in the decision-making process and distributing the Green Quality Function provides a very useful way to achieve this goal.