“…The results indicate that the sterilization of solid waste reaches the conclusion; the analysis of variance (ANOVA), after sterilization, shows a calculated "F" value of 585.89, this being higher than the critical value of 1.85, showing that the means or averages are different and significant for the value of 0.000, the Pearson's R Correlation Test shows a value of 0.996 which indicates a direct and almost perfect relationship and the "t" test shows significant differences between the means whose reduction is 0.86083, on average by day, it is concluded that sterilization significantly improves the management of environmental factors in the operating room area of ​​said hospital El presente libro es una adaptación de un estudio presentado a la Universidad Nacional del Altiplano, que tuvo como objetivo implementar un sistema de gestión ambiental, para manejar los recursos Agua, Aire y Suelo, desarrollar la revisión ambiental, e identificar los programas de Gestión Ambiental, en el Hospital Manuel Núñez Butrón de Puno (Perú). …”