Per- and polyfluoroalkyl substances (PFAS), known for their persistent toxicity and mobility, pose significant environmental and human health risks. Here we explored the occurrence and efficacy of on-site Double-Pass Reverse Osmosis (DTRO) systems in removing 30 different PFAS from landfill leachates in 11 diverse cities across China. PFAS concentrations in landfill leachate ranged from 938 to 32,491 ng/L, averaging 6,486 ng/L, predominantly comprising short-chain PFAS, notably perfluorobutane sulfonate (PFBS). Notable emerging substitutes like 6:2 fluorotelomer sulfonate, fluorobutane sulfonamide, and 9-chlorohexadecafluoro-3-oxanone sulfonate were also identified. The PFAS levels correlated positively (r2 = 0.79, p < 0.01) with regional economic development, with coastal areas exhibiting higher concentrations than inland regions. The DTRO membrane filtration and ion exchange resin achieved an average removal efficiency of 94 % for ∑30PFAS and even 99.97 % for PFBS (the concentration of PFBS in the raw leachate ranged from 226.36 ng/L to 27,935.61 ng/L, with an average concentration of 4,506.88 ng/L). The Na ion exchange resin had a limited effect on further reducing the PFAS concentration. Our findings not only contribute to the theoretical understanding of PFAS behavior in landfill leachates but also offer a practical engineering applications for global waste management practices.