The possible threats that healthcare waste management (HWM) poses to the environment and public health are making it more and more crucial for medical facility administrators to be worried about it. This is in line with the global trend towards firms giving sustainability more of a priority. Many organizations, including the World Health Organization (WHO) and other organizations, as well as national and state laws, have mandated the proper disposal of infectious and hazardous healthcare waste. To effectively address the complex problem of selecting the best treatment option for HWM, a multi-criteria decision-making (MCDM) procedure must be used. The alternative ranking order method accounting for two-step normalization (AROMAN) methodology is provided in the context of q-rung orthopair fuzzy environment. This method comprises two steps of normalization and is based on the criteria importance through intercriteria correlation (CRITIC) paradigm. Whereas the AROMAN methodology uses vector and linear normalization techniques to improve the accuracy of the data for further computations, the CRITIC method assesses the intercriteria correlations and scores the significance of each criterion. The ranking from the proposed method is Al5>Al4>Al3>Al1>Al2. The study’s conclusions indicate that recycling (Al5) is the best option since it lessens trash production, aids in resource recovery, and protects the environment. Using this method helps decision makers deal with subjectivity and ambiguity more skillfully, promotes consistency and transparency in decision making, and streamlines the process of choosing the best waste management system. Sustainable waste management practices have been implemented in the biomedical industry with some success. The proposed technique is a helpful tool for legislators and practitioners seeking to improve waste management systems.