Advanced compact wastewater treatment processes are being looked for by cit
ies all over the world as affluent standards are becoming more stringent an
d land available for treatment plants more scarce. In this paper it is demo
nstrated that a very substantial portion of the pollutants in municipal was
tewater appears as particulate and colloidal matter. Pre-coagulation, there
fore, gives very efficient pretreatment that results in considerable saving
in the total space required by the plant, especially when combined with a
biofilm process for the removal of the soluble matter. A new biofilm proces
s for this purpose is described. The moving bed biofilm process is based on
plastic carriers, that move in the reactor, on which biomass attach and gr
ow. The carriers are kept within the reactor by a sieve arrangement and bio
mass that is sloughing off the carriers is separated before effluent discha
rge. In addition to combining the moving bed biofilm process with pre-coagu
lation, the paper discusses also the use of a high-rate moving bed process
combined with coagulation directly after the biofilm reactor in order to en
hance separability. This results in very compact treatment plants for secon
dary treatment and possibly phosphate removal.