This paper briefly describes waste treatment trends in Sweden and describes an example of state-of-the-art treatment in a local integrated waste treatment system (Borås). The focus is on treatment of household waste, to illustrate what can be done to establish a sustainable waste treatment system with high recovery of materials and energy. The various processes have resulted in a low amount of landfilled household waste, and high proportions of recovered energy and materials. Heat, electricity, vehicle fuel and fertilizers, metals and construction materials are recovered from the local waste in Borås, with less than 4% of domestic waste being sent to landfill.