In modern competitive markets, cost and quality parameters are the two main factors. So, it is essential to study their relationship, especially in leading industries such as urban public service companies. Consequently, manufacturers always try to reduce production costs and improve products quality and services at consumer expectations. Also, the concerns of the new century in the eld of fresh water and the reduction of its resources related to global warming have increased the costs of quality and supply of freshwater. Therefore, in this research, in order to estimate the quality costs in the eld of water resources and wastewater management and identify the option that creates the most cost, in the rst step, the "Prevention, Appraisal, and Failure (PAF)" model was used to select cost-imposing options in organizational quality analysis. After determining the main options, appropriate criteria and sub-criteria were selected under the main study area (water and wastewater resources management). In the next step, a "Multiple-Criteria Decision-Making (MCDM) " method based on "Fuzzy Analytical Hierarchy Process (FAHP)" and "Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS)" method was used to identify the option that creates the most cost. The results show that the Appraisal cost option has the most signi cant impact on the quality cost in the water and wastewater management (37%), and other quality cost options include external failure (29%), internal failure (22%), and preventive (12%) are in the following ranks.