ABSTRACT Wastewater effluents increase contaminant levels in the aquatic environment, leading to various disruptive effects. In this study, responses of Unio ravoisieri transplanted into wastewater from Wadi Guenniche were monitored using filtration rate, oxidative stress, lipo-peroxidation, neurotoxicity and histopathological markers. The filtration rate was significantly increased by exposure to diluted wastewater, rising from 35.13 mg indiv−1 h−1 in the control to 63.49 mg indiv−1 h−1 in the mussels after 96 h of exposure. In contrast, this exposure significantly reduces catalase, glutathione-S-transferase and acetylcholinesterase activities in both organs. This decrease is dependent on the effluent concentration and time exposure. The malondihaldehyde content showed an increasing profile in both organs. It is only in the gills that this increase is significant for mussels transplanted in situ for 48 h. Contamination by wastewater causes histopathological changes in both organs, marked by infiltration, vacuolisation, secretion of lipofuscins and cell necrosis. The intensity of these lesions depends on the duration of exposure and the degree of pollution. The mean incidence of lesions increases depending on effluent concentration and exposure time in both organs. Our study contributes to the database on behavioural, biochemical and histopathological effects in mussels following the discharge of wastewater effluent into a freshwater ecosystem.