Waste generation in developing countries is highly increasing due to the accelerated economic growth. This raises many issues and concerns due to the high population and the improper waste management. For the Arab countries, the amount of municipal solid waste generated is about 81.3 million tons per year; less than 20% is adequately treated, and less than 5% is recycled. Another main issue is the transportation and logistics of waste. To address these issues, this chapter adopts ‘reverse logistics’ to explore how to manage waste and increase waste utilization efficiently. The scope of this chapter is Egypt and can be generalized to the Middle East and North Africa (MENA) region. The main interest of this chapter is to understand the role of reverse logistics in waste management and to determine the factors that influence logistics decisions and practices for waste management.