This study describes the evaluation of medical waste management in the largest hospital in terms of the number of sections and the number of patients and visitors to Alshaabaniya and Bidar Hospital in Zakho city , Iraq's Kurdistan region .Found through this study the number of the patients referred to hospital for the various tests of males and females in different ages is about (691758 patients)and the number of the patients who remained is about( 32926) which lasted for two years as of (15/06/2015-30/05/2017 ). The amount of hazardous medical waste was reported at the above mentioned clinics respectively is about( 27250 Kg)/ (5711 Kg). The goal is to reduce the rate of medical waste generation, both in terms of quantity and quality, by developing the technology used, adopting clean technology, and selecting substitutes or primary materials that are less invasive of the environment and public health. But the result of study show the existence of administrative practices of improper disposal of medical waste in terms of the separation of hazardous and non-medical waste operations and this is due to the negligence and carelessness in the instructions issued by the authorities of administrative supervising the application of the collection, separation, transport and storage of the waste temporarily inside hospital pending transfer to operations final treatment with municipal waste. In addition to the lack of environmental awareness among workers in the field of hygiene and lack of provision of required equipment for personal protection and the lack of a program or plans to train workers in hygiene and how to deal with the medical waste and Prevention , Note that the continuous production of waste per day throughout the year, so it is necessary to work hard to improve the administration consistently and effectively and to work hard to provide the infrastructure necessary for the success of the administrative process require