The current classification of medical waste does not consider the sanitary-and-chemical hazard of epidemiologically dangerous and extremely dangerous medical waste (classes B and C). According to the results of the studies performed, the authors propose the improved classification of medical waste, which makes it possible to take into account not only infectious, radiation, and toxicological, but also sanitary-and-chemical hazards (toxicity, carcinogenicity, mutagenicity, and biological activity) of medical waste.