A study of biomedical waste management infrastructure in Maharashtra conducted by the Indian Institute of Technology (IIT), Bombay revealed critical inputs into the present and future status of Common Biomedical Waste Treatment Facilities (CBWTFs) across the State. The study claimed that biomedical waste facilities (under current operating condition) in Nagpur are operating under shortfall in both incinerator (-134%) and autoclave (-585%) treatment capacity. Apart from Nagpur, Sangli (30% and 193%) and Talegaon (20% and 425%) are also operating under shortfall in both the categories. Similarly, under ideal operating condition three districts Nagpur, Sangli and Taloja were found to have shortfall in incinerator capacity of 134%, 17% and 4% respectively. While, the facility located in Nagpur has shortfall in autoclave capacity by 52%. Maharashtra Pollution Control Board (MPCB) has assigned IIT Bombay to conduct this comprehensive gap analysis of BMW generation in Maharashtra and its treatment in 30 CBWTFs situated across the State. The study encompasses a detailed evaluation of biomedical waste generation from registered health care facilities (HCFs), current treatment capacities, and future projections over the next decade. Out of these 30 CBWTFs, 11 facilities cover HCFs within a radial distance of 75 km including Dhule, Kalyan, Karad, Kolhapur, Mumbai, Nagpur, Nandurbar, Palghar, PCMC, Pune and Talegaon. Amongst these, facilities located at Kalyan, Mumbai, Nagpur, Palghar, PCMC, Pune and Talegaon cover more than 10,000 beds. However, the facility located at Nagpur has inadequate treatment capacity. As per the study, three new CBWTFs are proposed each at Butibori, Bhandara, and Gondia with an aim of reducing waste load (shortfall) on the CBWTF at Nagpur. However, CBWTF at Nagpur is still expected to face a shortfall in incinerator capacity till the year 2034 due to increasing waste generated within its allocated jurisdiction. In Nagpur, an incinerator having a minimum capacity of 200 kg/hour will be required to address the maximum shortfall anticipated of 3129.29 kg/day. The study also recommended that depending on feasibility, the authorities shall decide whether, to redefine the jurisdiction of CBWTF at Nagpur by permanently diverting waste from some of its HCFs to a nearby CBWTF having surplus in treatment capacity. The waste can be diverted amongst new CBWTFs located at Bhandara and Butibori as these are anticipated to have a surplus of 2536.28 kg/day (63%) and 5315.86 kg/day (94%) and 7135.09 kg/day (79%) and 10903.42 kg/day (96%) in incinerator and autoclave treatment capacity, respectively, till 2034.