ABSTRACT Pilot experiments were conducted to assess the removal of organic micropollutants from biologically treated wastewater at a municipal wastewater treatment plant in Sweden. Powdered activated carbon (PAC) was combined with a low dose of ozone added directly before the PAC contact tank, enabling ozone to react simultaneously with the PAC and the wastewater contaminants. This combination of ozone and PAC was compared to PAC or ozone alone. The process, which included coagulation/flocculation and ballasted high-rate lamella sedimentation, proved to be both robust and efficient for the removal of micropollutants. The addition of 1.3 mg PAC/mg DOC resulted in a 73% average reduction of micropollutants. With the addition of 0.13 mg O3/mg DOC, the reduction increased to 83%, which was similar to the outcome with the addition of 26 mg PAC/mg DOC without ozone. The process configuration and operating conditions did not lead to any detectable bromate formation despite relatively high influent bromide levels. The estimated operating costs for combining PAC with a low dose of ozone were significantly lower than for applying a higher PAC dose. Thus, this way of combining PAC with ozone seems to have several advantages with respect to treatment efficiency and operation.