In the frame of a modern waste management, an important sector concerns the sewage sludge minimization. In recent years a lot of techniques have been developed to reduce the sludge production such as biological, thermal, thermochemical, high-temperature oxidation and mechanical treatments, ultrasonication and ozonation, or using chemical compounds. Among those, the use of an anaerobic side-stream reactor (ASSR) in the conventional activated sludge line is a challenging biological technology able to minimize sludge production in wastewater treatment plants. The ASSR can be easily realized in both new and existing plants as it consists of an ASSR for sludge treatment and reduction where a portion or, in some cases, all the return sludge of the activated sludge process is subjected to alternating aerobic, anoxic, and anaerobic conditions. Studies show that, combining a conventional activated process with an ASSR, sludge yield could be reduced by up to 40-60% without any negative effects, neither on the effluent quality nor on the settling characteristics of the activated sludge. The process has been applied using various configurations. Further, different explanations about the reduction mechanisms behind the process have been provided. This article is a review of the existing applications of the ASSR in laboratory scale and patents in order to describe the configurations implemented, the performance of the process in terms of sludge reduction and carbon and nutrients removal, the main operative parameters, and the mechanisms of sludge reduction observed. © 2016 Taylor & Francis Group, LLC.

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