Municipal solid waste (MSW) management is a significant problem for developing countries due to lack of sufficient infrastructure, poor management capacity, and low level of waste treatment technology. This study proposes three main groups of criteria, i.e., social, economic, and environmental, that can be used as an effective tool to assess the sustainability of MSW treatment technologies, considering Ho Chi Minh City, Vietnam as a case study. The sustainability assessment criteria consist of a list of indicators which consider potential waste treatment plants. The indicators and technologies then undertake a selection process from identifying assessment goals and key aspects to data collection and consultation of experts. The findings from the previous phase will be used to select the most preferred waste technology through AHP and normalization approaches. As a result, 12 selected indicators are as follows: investment cost, treatment cost, operation and maintenance costs, revenue/benefits, job creation, community consensus, support policy, community health, air pollution, water pollution, greenhouse gas emissions, and land quota. Among three MSW facilities selected, i.e., landfill, compost, and waste-to-energy incineration, waste-to-energy is determined as the best alternative solution for Ho Chi Minh City in a given context of approximate 70% of landfilling being applied. The selection process and indicators found can guide decision-makers and policy on selecting MSW treatment technologies in developing countries. Additionally, Ho Chi Minh City’s governors benefit from finding the most appropriate waste technology. A technology adoption roadmap and its implementation plan should be thought thoroughly to address challenges in MSW management in the city.