Treatment Wetlands (TWs) are widely used for the treatment of domestic wastewater, with an increasing emphasis on provision of multiple co-benefits. However, concerns remain regarding achieving stringent phosphorus (P) discharge limits, system robustness and resilience, and associated guidance on system design and operation. Typically, where P removal is intended with a passive TW, surface flow (SF) systems are the chosen design type. This study analysed long-term monitoring datasets (2–30 years) from 85 full-scale SF TWs (25 m2 to 487 ha) treating domestic sewage with the influent load ranging from 2.17 to 54,779 m3/d, including secondary treatment, tertiary treatment, and combined sewer overflows treatment. The results showed median percentage removals of total P (TP) and orthophosphate (Ortho P) of 28% and 31%, respectively. Additionally, median areal mass removal rates were 5.13 and 2.87 gP/m2/yr, respectively. For tertiary SF TWs without targeted upstream P removal, 80% of the 44 systems achieved ≤3 mg/L annual average effluent total P. Tertiary SF TWs with targeted upstream P removal demonstrated high robustness, delivering stable effluent TP < 0.35 mg/L. Seasonality in removal achieved was absent from 85% of sites, with 95% of all systems demonstrating stable annual average effluent TP concentrations for up to a 30-year period. Only two out of 32 systems showed a significant increase in effluent TP concentration after the initial year and remained stable thereafter. The impact of different liner types on water infiltration, cost, and carbon footprint were analysed to quantify the impact of these commonly cited barriers to implementation of SF TW for P removal. The use of PVC enclosed between geotextile gave the lowest additional cost and carbon footprint associated with lining SF TWs. Whilst the P-k-C* model is considered the best practice for sizing SF TWs to achieve design pollutant reductions, it should be used with caution with further studies needed to more comprehensively understand the key design parameters and relationships that determine P removal performance in order to reliably predict effluent quality.
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