Purpose - The management of electronic medical waste (e-waste) represents a significant challenge and an opportunity for sustainability in the health tourism industry. As large companies in tourist destinations increasingly use electronic devices for medical purposes, the disposal of these items becomes crucial for the health of the environment and the sustainable development of the destination. This paper examines the impact of healthcare e-waste disposal in destinations and discusses strategies for effective management to improve sustainability. Findings-Research - This study is based on a mixed methods design that includes a quantitative analysis of e-waste generation and qualitative case studies at major healthcare providers in leading tourism destinations. The paper evaluates different strategies for e-waste management, including Design for Environment (DfE) principles, the use of environmentally friendly materials, energy efficient practices, data security measures, recycling and reuse, and more. A multi-perspective approach will be used to discuss the challenges and opportunities of e-waste management that promotes sustainable tourism development. Design/methodology/approach - This study examines the management of electronic medical waste (e-waste) and its impact on sustainability in tourism destinations. With the increasing integration of technology into the healthcare services offered there, the proper disposal and recycling of e-waste is proving critical to maintaining environmental health and ensuring sustainable development of the tourism economy. This study aims to identify effective e-waste management strategies that can be implemented by large companies operating in tourism destinations and analyse their impact on the environmental sustainability and overall attractiveness of these places for tourists. Findings/ Originality of the research - This study not only represents an intersection between the healthcare industry’s management practices regarding the disposal of average-life devices by hospitals and sustainability in tourism, but also provides insights for policy makers, healthcare managers and tourism stakeholders regarding effective e-waste management approaches. The study highlights the role that sustainable e-waste management can play as a key differentiator for destinations, while ensuring the health and safety of tourists and the wellbeing of the host community. The argument of this study is therefore that the current management of e- waste in healthcare facilities needs an alternative approach to improve their attractiveness and sustainability.