The solid waste management remains a serious problem in most of the developing countries, although it consumes a larger portion of municipal budgets. Solid waste includes solids or semisolids, non-soluble materials (including gases and liquids in containers) such as agricultural refuse, demolition waste, industrial waste, mining residues, municipal garbage, and sewage sludge. In this paper the household solid waste is discussed. This study aims to assess the solid waste management at the household level, and explore households’ willingness to pay for improved solid waste management in Khanozai Town, Pishin district, Balochistan. A multistage sampling technique was used to collect the data. Purposive sampling method was used to select the Pishin district within 33 districts of Balochistan. Furthermore, UC Khanozai was selected among three UCs of Pishin district purposively. Moreover, the households within UC Khanozai were selected through universal sampling technique. A total of 741 households were interviewed in the survey, questionnaires were used as data collecting tool and data were analyzed using Descriptive (Mean and standard deviation) and inferential statistic (Binary logistic regression model). Binary logistic regression model was used to show cause and effect between variables. Results show that 76.2% disposed of the waste at open spaces, 31% of the households burnt the waste at homes. Little more than two-third (61.9%) of the households were satisfied by the SWM services by the Municipal Committee Khanozai. Results also show that solid waste management practices are one of the big social problems in the Town as 63.8% of the households reported it as medium priority problem and 18.6% households reported it as top priority problem while 17.5% households reported it as low priority problem. Moreover, 83.3% of the household were willing to pay for improved sloid waste management. To improve the state of affairs of this pressing problem, the municipal committee and other stakeholders in the town have to put efforts for establishing sustainable management of solid waste through cost sharing by households. Furthermore, it is direly needed to assess the actual quantity of solid waste generated in the town through proper survey. It is also important to initiate awareness campaign targeting the households, business community, schools and individuals for proper management of solid waste from sources of generation to disposal.