Surgical explants are metal devices that had been implanted surgically implanted and and that after withdrawal from patients follow a differentiated destination of the other hospital waste, since they must be submitted to the sterilization process to be considered no biological risk waste. The present study aimed to implement a system for the management of the waste disposal from surgical explants, after a diagnosis made using the Environmental Management Accounting (EMA) System evaluation tool, considering the preparation stages of the materials, from the generation of the waste to its final disposal. For the implementation of the management system, tools were used to control, to prepare the flow, and to train employees, whose methods were prepared jointly with those responsible for the technical areas involved and, finally, after the explant was considered useless, it was sent to a company specializing in the treatment of explants, for the reverse manufacturing. Future studies should be made to extend the analysis to other health care facilities, as well as conduct a more in-depth analysis of the eco-efficiency of the hospital process. With the measures implemented, it was seen that there was a 45% increase to 100% of the eco-efficiency in operations related to the destination of this type of waste, because of the management of disposal and application of reverse manufacturing.