The applicability of the Waste Management Hierarchy concept that appeared to be an essential element in current national environmental policies was investigated in the case of a region in Southern Europe. The waste generation profile that determines the appropriateness of different waste management options was created after a 1-year municipal waste sampling investigation conducted in the Municipality of Pilea in Northern Greece. The paper describes the results of (1) the sampling method, which was conducted four times during 1 year (once per season) in selected areas of the city, (2) the qualitative analysis of the collected samples and (3) the waste treatment, which consisted of drying, grinding, calorific value measurement, incineration and chemical analysis of the collected samples. Comparative analysis between the above mentioned data and on past data derived from investigations conducted in other Greek regions with similar characteristics to those of Pilea were used to identify and discuss future trends in the composition of generated waste over time. An analysis of the current waste management status in Greece as well as the feasibility of implementing a comprehensive management approach is assessed taking into account guidelines set worldwide to promote renewable energy sources use. It is concluded that recycling, perhaps the most positively received of all waste management practices, is going to be an essential part of contemporary waste management strategies, composting can play an important role, while incineration seems to be a conditionally feasible solution.