Since 1983 approximately 150 full-scale emergent hydrophyte based wastewater treatment plants (reed beds) have been constructed in Denmark to serve small wastewater producers. The development of purification performance for 21 plants representing different soil types, vegetation, and hydraulic loading rates has been recorded. Cleaning efficiencies were typically in the range of 60-80% reduction for BOD, 25-50% reduction for total nitrogen, and 20-40% reduction for total phosphorus. The mean effluent BOD, total nitrogen and total phosphorus concentrations of the reed beds were 19 ± 10, 22 ± 9 and 6.7 ± 3.2 mg/l (mean ± SD), respectively. Thus, the general Danish effluent standards of 8 mg/l for N and 1.5 mg/l for P for sewage plants greater than 5,000 PE cannot be met by the present realised design of EHTS. The main problem observed in most systems is a poor development of horizontal hydraulic conductivity in the soil which results in surface run-off. Since the political demands for effluent quality will be more strict in the future, it is important to improve the performance of small decentral sewage treatment plants. On the basis of experiences from different types of macrophyte based and conventional low-technology wastewater treatment systems, a multi-stage system is suggested, consisting of sedimentation and sand filtration facilities followed by basins planted with emergent and submergent species of macrophytes and algal ponds.