Perfluorooctanoic acid (PFOA) is a perfluoro compound that contains an eight-carbon perfluoroalkyl chain followed by a carboxylic acid function group. The C-F bound possesses a strong bond energy of approximately 485 kJ/mol, rendering PFOA thermally and chemically stable. It has found applications in water-resistant coating and is produced either by degrading other long-chain perfluorinated carboxylic acids or fluorotelomer alcohol. PFOA is challenging to further degrade during water treatment processes, leading to its accumulation in natural systems and causing contamination. Research has been conducted to develop several methods for its removal from the water system, but only a few of these methods effectively degrade PFOA. This review compares the most common chemical degradation methods such as photochemical, electrochemical, and sonochemical methods, to the cutting-edge biodegradation method. The chemical degradation and biodegradation methods both involve the stepwise degradation of PFOA, with the latter capable of occurring both aerobically and anaerobically. However, the degradation efficiency of the biological process is lower when compared to the chemical process, and further research is needed to explore the biological degradation aspect.