During the past several years big changes have been observed in waste water disposal, noticeable particularly in the improvement of water protection and sewage treatment. An important element of waste water disposal still requiring improvement is a low development of sewage systems in rural and urban areas. The main problem is an increasing amount of sludge, high degree of sediment hydration and considerable ability to anaerobic decomposition, a lack of areas for managing sediments near big cities and deposits of sediments on storage areas. Selected issues of waste water disposal and sludge handling in the Mazovian Province against a background of waste water disposal and sludge handling in Poland were presented in the article.