Municipal solid waste final disposal represents an environmental burden worldwide since landfilling, or open dumping, is still the preferred solution for the end of life of solid discarded materials. This study aims to review the technological innovations applied for landfill leachate treatment, taking into consideration the experiences obtained during the past years and the solutions which have been implemented. The review showed that both biological and physiochemical treatments are not able to achieve the requested water quality level, according to the limits established by regulations, whether applied in a single treatment or multiple treatments. In order to respect sustainable release limits to guarantee environmental protection, the construction of depuration systems and combining biological and physiochemical treatment methods is considered of the utmost importance. The review looks at possible joint applications of different treatment techniques reviewed by other studies and considers the state of the art of current research. Combined technical solutions suggested within the 2016 peer-reviewed papers are presented and discussed as a sustainable way to effectively treat landfill leachate, giving particular attention to feasible solutions for developing countries.