This research investigates sustainable solid waste management practices at the State Company for the Manufacture of Medicines and Medical Supplies in Samarra. Using Statistical Package for the Social Sciences (SPSS) ver. 23, key variables such as education, participation, implementation, and policy were analysed to assess their impact on environmental balance. A sample of 62 staff members was surveyed from a population of 785, ensuring reliability and representative insights. The study revealed high internal consistency and validity for the analysed variables. Sustainable management dimensions were thoroughly explored, and the average score for sustainable management was found to be 3.102, indicating a strong level of agreement among participants regarding these dimensions. Specific hypotheses related to education, participation, implementation, and policy were confirmed through robust statistical analyses. Variation analysis revealed statistically significant differences in sustainable management dimensions and their impact on environmental balance. Regression analysis demonstrated relationships between participation, implementation, policy, and environmental balance, with R² (coefficient of determination) values indicating the explanatory power of these relationships. The results underscore the critical role of education, participation, implementation, and policy in achieving environmental balance within the context of sustainable waste management practices. This study contributes valuable insights into effective strategies for promoting environmental sustainability in waste management initiatives, emphasising the importance of targeted interventions in education, participatory engagement, implementation strategies, and policy frameworks.