This chapter reviews the utilization of self-sustaining smouldering combustion as a treatment for solid or liquid waste, embedded in a porous matrix. Smouldering has been identified as an attractive solution to treat waste with high moisture content. The fundamental aspects of this technology, such as the experimental setup and the ignition mechanism, are described here. The operational parameters determine the physical properties of the media, and will dictate the self-sustainability of the process. A discussion on how the operational parameters affect the smouldering performance is also presented. The performance of smouldering is usually assessed by the peak temperatures and the velocity of propagation of the smouldering front through the material. The potential sources for energy recovery are described. Importantly, as oxidation and pyrolysis coexist during smouldering, it was shown with potential for the recovery of pyrolysis products, such as pyrolysis oil. Finally, a brief insight on the gas emissions, and the perspectives regarding the technoeconomic viability in full-scale are also discussed.