The main aim of this research was to assess the problems of using cesspits in the non-sewered areas in the West Bank of Palestine by the means of a questionnaire, with a sample size of 485 households, targeting the cesspits’ owners. People who use cesspits for house onsite wastewater management are not satisfied with them, and most of them complain about high disturbance during discharge of the cesspits (75.5%). Emptying cesspits represents a financial burden, costing 6% of the households’ monthly income. The frequency of cesspits’ emptying decreases substantially when there are onsite GWTPs. People accept that constructing a house with an onsite GWTPs when supported by external funding, and to a much lesser extent when they need to fund them themselves. The majority of people prefer sewerage networks for wastewater management(74.8%), followed by onsite GWTPs (15.5%), and cesspits are the least preferable (9.5%). Therefore, a more technically sound individual home onsite wastewater management system should be applied to replace cesspits so as to solve their negative implications on the socio-economic, environmental, and health aspects in the Palestinian rural communities.