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This paper deals with waste management in the tourism sector, specifically in the agro-tourism structures. Two regions of Romania and Italy have been considered as case studies in order to promote good practices and actions for sustainable municipal solid waste management. Specific criteria to adopt for the sustainable consumption of beverages and food and for the sustainable use of packaging of various types have been analyzed and suggested. The adoption of an indicator at the level of the single tourist structure has been proposed to help self-analysis that is aimed at setting the priorities of intervention for improving its environmental sustainability.