Abstract
Microplastics (MPs) persist in wastewater treatment systems owing to their durability and mobility. As critical interception points, wastewater treatment plants (WWTPs) receive MPs from diverse domestic and industrial sources. This review synthesizes peer-reviewed studies (2009-2026) to evaluate MP mass flux, in-plant transformation, and elimination across primary, secondary, and tertiary stages. While conventional processes typically remove 60-90% of MPs, advanced tertiary technologies, such as membrane bioreactors and rapid sand filtration, can achieve efficiencies exceeding 95%. The fate of MPs is governed by density-driven settling and biological aggregation; however, the significant accumulation of MPs in sewage sludge represents a critical pathway for environmental re-entry. This review highlights key knowledge gaps, including inconsistent analytical methodologies, evidence of in-plant fragmentation generating nanoplastics (NPs), and uncertainties regarding full-scale mass flows. Furthermore, the review synthesizes mass flux data to clarify the partitioning of MPs between the effluent and sludge, identifying biosolids as a primary sink. The review concludes by proposing a transition from physical separation to elimination technologies (e.g., AOPs), alongside standardized monitoring and regulatory frameworks, to achieve sustainable reductions in MP emissions.