In agreement with European Union directives, the integrated management of municipal solid waste must be developed ensuring a balanced relationship between the streams of selective collection and the one regarding the residual waste. A theoretical scenario is made where the residual municipal solid waste is composed only of non-recyclable fractions. An important aspect concerns the role of the organic fraction as selective collection can significantly decrease its content in the residual waste. This paper focuses on the planning, design and management consequences of this unsteady scenario. The treatments that are considered are: combustion, gasification, pyrolysis, integrated thermal plants, aerobic mechanical-biological treatments, anaerobic mechanical-biological treatments and other types of treatment. The considerations are based on the experience of the authors not only in terms of development of research but also in terms of transfer of the research results to the real scale, and knowledge of the state-of-the-art of the sector.