The challenge of an ecological and economical treatment of household waste depends not only on the make-up of the waste but also on many other factors. Local, county, State and Federal regulations, especially those regarding emissions, current waste management practices, cost of ownership, reuse, recycling or disposal of outputs, knowledge of “what is available out there?”, “we have garbage as well”, partial, non-complete solutions, use of best available technologies are among these. Solutions to such a challenge vary just about as much as the factors of the challenge itself! One solution is through the implementation of the mechanical-biological treatment (MBT) process to treat household waste. This MBT process has not always been regarded as viable. An MBT process is now available as a tried and proven very adaptable and very flexible solution. MYT® or Maximum Yield Technology is such a complete method, is BAT or Best Available Technology and can be designed and built to the needs of the municipality, waste content and quantity, regulations, output needs etc. A typical MYT® layout consists of the following five steps: 1. Waste acceptance 2. Mechanical Preparation 3. Biological Conversion 4. Biological Drying 5. Mechanical Material Separation The following MYT®-design, operational and quality aspects will be presented: 1. Scalability and Flexibility 2. MSW feedstock 3. Output 4. Market for output / direct thermal conversion 5. Other complementary technologies 6. Cost to Citizens 7. Costs of a MYT® plant 8. Emissions matter! 9. Regulatory compliance 10. Public acceptance