An alternative system for treatment and disposal of all “low-heat-generating” nuclear wastes from all sources is proposed. The system, Regional Waste Treatment Facilities with Underground Monolith Disposal (RWTF/UMD), integrates waste treatment and disposal operations into single facilities at regional sites. Untreated and/or pretreated wastes are transported from generation sites such as reactors, hospitals, and industries to regional facilities in bulk containers. Liquid wastes are also transported in bulk after being gelled for transport. The untreated and pretreated wastes are processed by incineration, crushing, and other processes at the RWTF. The processed wastes are mixed with cement. The wet concrete mixture is poured into large low-cost, man-made caverns or deep trenches. Monolith dimensions are from 15 to 25 m wide, and 20 to 60 m high and as long as required. This alternative waste system may provide higher safety margins in waste disposal at lower costs.