In this paper, a small medical waste pyrolysis furnance, which could disposal 1t wastes, is designed for the safe disposal of medical wastes, by in-depth research of pyrolysis, detailed calculation analysis, and considering the experimental results and other factors in general. The flue gas treatment system of the small medical waste pyrolysis furnance is designed applying 3T principle, and the dioxin’s later synthesis is controlled, so the dioxin emissions problem is also resolved. The results show that the small furnance has reasonable configuration, works reliably, and it could self-support freely, its emissions meet the national standards for the dioxin emissions 0.213 ng/m3.