With　rapid　economic　development　and　urbanization,　there　has　been　an　increased　generation　and　discharge　of　municipal　sewage　in　China,　ultimately　increasing　the　amount　of　sewage　sludge　entering　the　treatment　facilities.　Given　this　rising　problem,　finding　environmentally　friendly,　cost-effective,　and　socially　acceptable　disposal　options　for　the　municipal　sewage　sludge　is　crucial　for　sustainable　development.　This　study　evaluated　various　sludge　disposal　and　treatment　technologies　for　their　environmental,　economic,　and　social　sustainability　and　developed　an　assessment　model　using　multi-criteria　decision-making　methods.　A　combined　Analytic　Hierarchy　Process　and　Vlsekriterijumska　Optimizacija　I　Kompromisno　Resenje　approach　was　used　for　sequencing　of　the　alternatives　and　evaluation　of　the　most　sustainable　disposal　system　based　on　a　set　of　sustainability　indicators.　The　model　results　were　validated　using　the　Technique　for　Order　Performance　by　Similarity　to　Ideal　Solution　method.　Six　typical　municipal　sewage　sludge　disposal　technologies　in　China　were　selected　for　evaluation.　The　results　showed　that　municipal　sewage　sludge　disposal　through　land　application　revealed　the　best　performance　(Q　=　0.000),　and　proved　to　be　the　ideal　choice　for　sustainable　sludge　treatment.　This　was　followed　by　building　materials　application　(Q　=　0.207)　and　disposal　through　pyrolysis　(Q　=　0.362),　while　landfill　showed　the　highest　environmental　impact　and　least　overall　benefit　(Q　=　1.000).　Then,　a　sensitivity　analysis　showed　that　the　results　obtained　are　robust　and　effective,　and　weight　changes　of　more　than　80%　indicated　land　application　to　have　the　best　performance.　Finally,　the　predicaments　and　suggestions　of　municipal　sewage　sludge　land　application　was　analyzed　in　China　from　the　aspects　of　standard　and　sludge　quality.