This chapter examines waste management challenges in mountain tourism regions, proposing innovative solutions that blend sustainable practices with advanced technologies. It explores waste reduction strategies, waste-to-energy innovations, and policy frameworks involving diverse stakeholders. The text emphasizes waste segregation, recycling, and composting techniques adapted for mountainous terrains, while addressing environmental impacts on local ecosystems. It discusses the importance of community engagement, educational initiatives, and emerging technologies like smart systems and IoT-based monitoring. The chapter concludes with actionable recommendations for policymakers, tourism operators, and communities, aiming to balance economic growth with environmental conservation in mountain tourism destinations, ensuring their long-term resilience and sustainability.