Membrane fouling can be divided into two types: reversible fouling and irreversible fouling. The former can be easily canceled by physical cleaning (e.g., backwashing) while the latter needs chemical cleaning to be mitigated. For more efficient use of membranes, the control of irreversible membrane fouling is of importance. In this study, the effectiveness of pre-coagulation/sedimentation on irreversible membrane fouling was investigated, based on the pilot-scale operation of the membrane unit installed at an existing water purification plant. The membrane employed was a low-pressure ultrafiltration (UF) membrane made of polysulfone and having a molecular weight cut-off of 750,000 daltons. Although pre-coagulation/ sedimentation significantly mitigated membrane fouling mainly through the reduction of reversible membrane fouling, the degree of irreversible fouling was not reduced by the pre-treatment. This was because the irreversible fouling observed during this study was mainly attributed to polysaccharides/protein like fractions of organic substances that cannot be efficiently removed by coagulation/sedimentation. Aluminium used as coagulant was thought to cause irreversible fouling to some extent but did not in the pilot operation, which could probable be explained by the fact that coagulation was conducted at relatively high pH (7.0) in this study.