Toilets are a basic human necessity but a staggering number of people do not have safe and reliable access to them. In cities, urban slums and a large floating and migratory population have intensified the strain on already inadequate sanitation resources. Indeed, poor public and community toilet services are one of the most visible symptoms of inadequate urban sanitation services in India. Providing access to public and community toilets is a critical aspect to clean, healthy and safe cities. To help support this, GIZ and its partners have developed the Public Toilet Management (PTM) process (Figure) to guide cities in planning, building and sustaining public toilets (Public and community toilets summarized as public toilets for ease of communication). Most often, public toilet models fail in their operations and management after a couple of years due to shortcomings in one or a combination of the planning, financing, operations and management of the public toilets. There is a need to shift focus from asset creation to service delivery. The PTM process elaborates on how to do this. The 5 process steps highlight key focus areas, steps and tools to guide cities and other stakeholders toward improved public toilet management.