The municipal solid waste (MSW) management system in one of the Class II Indian cities i.e. Rishikesh was studied and analysed to identify the key issues in solid waste management in the city. A total of 329 solid waste samples from 47 households were collected to characterize the household solid waste (HSW). The average (HSW) generation rate was 0.26 kg/c/d and it was composed of organic waste (57.3%), plastics (14%), paper (10.9%), and glass and ceramic (1.3%) and other materials (16.5%). There was an inverse relationship between household waste generation rate and family size (p < 0.05). The MSW management system practiced in Rishikesh is unsound. There is no waste segregation at source, no provisions of composting and no recycling by formal sector. The collection and transportation of waste is inadequate and inappropriate. Collected waste is dumped in open dumping site without scientific management. Following are some recommendations for developing a sustainable solid waste management system in Rishikesh city: (1) sensitize people for segregation at source; (2) promote reduction, reuse and recycling of wastes; (3) promote community based composting; (4) provision for 100% door to door collection and; (5) formalize the informal sectors such as rag pickers and recycling industries.