A random and statistically significant sample of 40 medium (12) and large (28) manufacturing plants of Apodaca, Mexico were surveyed using a structured and validated questionnaire to investigate the level of implementation of lean manufacturing, sustainable manufacturing, continuous improvement and operational efficiency and environmental responsibility in them, it is important to mention it was found that performance in the mentioned philosophies, on the two categories of plants is low, however large plants show a better performance than medium plants. In both cases, it is worrying that in the highly industrialized municipality of Apodaca, Mexico are not decisively adopting the philosophies mentioned, as this compromises in a global world, in the medium and long term the viability of the plants, particularly the medium size plants. Finally this article shows the results of the answers to the items of questionnaire for the plants managers, and this can be useful to the management of the plants to identify and to define specific improvement actions towards priority areas.