The occurrence of a variety of organic pollutants has complicated wastewater treatment; thus, the search for sustainable and effective treatment technology has drawn significant attention. In recent years, bulk nanobubbles, which have extraordinary properties differing from those of microbubbles, including high stability and long residence times in water, large specific surface areas, high gas transfer efficiency and interface potential, and the capability to generate free radicals, have shown attractive technological advantages and promising application prospects for wastewater treatment. In this review, the basic characteristics of bulk nanobubbles are summarized in detail, and recent findings related to their implementation pathways and mechanisms in organic wastewater treatment are systematically discussed, which includes improving the air flotation process, increasing water aeration to promote aerobic biological technologies including biological activated carbon, activated sludge, and membrane bioreactors, and generating active free radicals that oxidise organic compounds. Finally, the current technological difficulties of bulk nanobubbles are analysed, and future focus areas for research on bulk nanobubble technology are also proposed.