The municipal solid waste incineration is now widely used in China's large cities. Two incineration plants in Shanghai, for example, with a total treatment capacity 2 000 t/d, 1 000 t/d each, result in 20 000-30 000 t fly ash each year. The treatment of fly ash is obviously a challenge for the incineration plants operations. In this paper, the existing fly ash treatment methods and the methods being developed at the laboratory stage are introduced within three main categories: landfill; solidification/stabilization, and extraction.