Electrokinetic-assisted phytoextraction (EKPH) involves the use of electric current to improve the mobilization of metals in soils and, therefore, their removal efficiency. It emerges as an interesting sustainable technology for the rehabilitation of abandoned mining areas. The goal of this research was to conduct a comprehensive study of this technique applied to real mine tailings from an abandoned Pb/Zn mine by using ryegrass as plant species and two types of electric current: direct with polarity reversal (DC-PR) and alternate (AC). The EKPH tests were conducted in specially designed plastic containers that allowed recording the main parameters of the electrokinetic process and sampling the different matrices studied, i.e. water, soil and plants. This intensive sampling program allowed detailed monitoring of the metal mobilization processes for the different treatments applied. The changes caused in metal mobility and physicochemical parameters of the tailings due to the application of electric current were reflected to a greater extent in the water samples than in solid ones. Accumulation of Pb, Zn, Cd and Cu in ryegrass tissues increased significantly by 41%, 17%, 34% and 32% when applying 1 V cm−1 of AC current, with respect to the results of phytoextraction without electric current. The application of DC-PR current did not lead, in general, to statistically significant increases in the plant metal uptake. These findings were adequately correlated with the changes found in the metal concentrations of soil pore water and, to a lesser extent, with those observed from the BCR sequential extraction applied to tailings samples.