Abstract: This study aimed to explore the status of livestock waste management and utilization practices in three towns of Tigray, Ethiopia. The three study towns (Shire, Aksum and Adwa) were selected purposively due to the presence of relatively better number of market oriented small-holder urban livestock producers and large human population size. A total of 150 urban livestock owning households (50 from each town) were selected using a systematic random sampling technique and primary data were collected using semi-structured questionnaire and focus group discussions. Farm monitoring was undertaken to determine the amount of manure produced at farm level for three months. Analysis of variance, Chi-squire, index ranking and qualitative analysis were applied using Statistical Procedures for Social Sciences. The result showed that chicken out number among the livestock species across the study towns. The average daily fresh manure produced per farm was 98 kilogram. The dominantly used feeding system was stall-feeding mainly on roughage feeds with concentrate supplementation. Nearly 68% of respondents collected manure from animal houses once a day using and stored as heap within 10 meters distance from the farm. About 6% of the households stored manure for more than three months across the study towns. Manure was primarily converted into dry dung for fuel followed by fertilizer. The critical manure management constraints were lack of technical knowhow, shortage of land, distant plots, lack of transport, less market demand and labor intensiveness in their order of importance. This study highlighted that current manure management practices were unsafe for urban inhabitants and the environment. Viable technologies that can promote sustainable environmental friendly urban livestock production and integration with other agricultural activities should deserve attention. It also demands developing and implementing strict regulations and guidelines for waste management.