This paper outlines design considerations for constructed wetlands wit
h horizontal subsurface flow treating domestic wastewater in cold clim
ates of northern latitudes. Particular attention is devoted to the use
of a filter medium with high phosphorus adsorption capacity. Experien
ce from two Norwegian multistage systems consisting of an aerobic pret
reatment step followed by constructed wetland units indicates purifica
tion processes are nearly the same during winter and summer seasons, w
ith quite high removal of organic matter (COD, BOD), phosphorus and ni
trogen.