This study evaluated the start-up phase performance of an 80-cubic-meter pilot-scale anaerobic-aerobic hybrid algal-bacterial reactor treating real domestic wastewater operated at 24 h hydraulic retention time. The aerobic chambers of the reactor were inoculated with heterotrophic bacterial biomass and mixed microalgal culture. Blue light-emitting-diode (LED) lights were provided in the aerobic chambers to facilitate algal photosynthesis. The influent chemical oxygen demand (COD), total nitrogen (TN), and phosphorus (P) values were 241 ± 45 mg/L, 26.8 ± 4.2 mg/L, and 6.7 ± 0.9 mg/L, respectively. After thirty days of operation, the effluent COD, TN, and P values were observed to be 26.7 ± 6.5 mg/L, 15.6 ± 0.73 mg/L, and 4.45 ± 0.16 mg/L, respectively. The sludge volume index of the mixed liquor was 43 mL/g, indicating high settleability. During the operation, an increase in the chlorophyll to biomass ratio was observed, which implies that the algal-bacterial symbiosis might have played a role in simultaneous carbon and nitrogen removal from the domestic wastewater.