Water pollution, driven by a variety of enduring contaminants, poses considerable threats to ecosystems, human health, and biodiversity, highlighting the urgent need for innovative and sustainable treatment approaches. Ozone-based advanced oxidation processes (AOPs) have demonstrated significant efficacy in breaking down stubborn pollutants, such as organic micropollutants and pathogens, that are not easily addressed by traditional treatment techniques. This review offers an in-depth analysis of ozonation mechanisms, covering both the direct oxidation by ozone and the indirect reactions facilitated by hydroxyl radicals, emphasizing their effectiveness and adaptability across various wastewater matrices. Significant progress in the combination of ozonation with additional technologies, including UV irradiation, hydrogen peroxide (H₂O₂), catalytic systems, and biological treatments, is examined, highlighting their effectiveness in enhancing pollutant breakdown, increasing biodegradability, and reducing secondary pollution. Hybrid methods, including catalytic ozonation and ozone-biological treatment, show significant enhancements in process efficiency and cost-effectiveness, while effectively tackling challenges associated with energy use and byproduct generation. Despite the promising possibilities, obstacles remain, such as scalability issues, high operational costs, and the risk of generating potentially harmful transformation products. Cutting-edge approaches, including the creation of sophisticated catalysts, integration of processes, and refinement of reactor designs, are suggested to address these challenges and improve the real-world implementation of ozone-based advanced oxidation processes. This review highlights the significant potential of ozone-based advanced oxidation processes as sustainable approaches for wastewater treatment, providing an essential route to environmental conservation and safeguarding public health.
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