The optimization of wastewater treatment technologies using biological processes is no longer limited to improving the removal of organic matter and nutrients, as it is possible to reduce area and energy consumption, and recover value-added by-products. In this context, the microalgae–bacteria consortium is an alternative for reducing costs, as microalgae produce the oxygen required by bacteria to oxidize organic matter through photosynthesis. Additionally, it is possible to extract different by-products such as lipids, biofertilizers, biogas, alginate-type exopolymers, and others. Furthermore, bioflocculation occurs naturally through the adhesion of microalgae to the surface of bacterial flocs, without the addition of chemical products. This review discusses the main systems that utilize the microalgae–bacteria consortium, the metabolism of the microalgae–bacteria consortium, and its performance in removing organic matter and nutrients, as well as the effect of operating conditions on the physical properties of the biomass. Among the highlighted systems are sequencing batch and single-batch reactors, high-rate ponds, and continuous flow reactors. Among the systems discussed in this work, the sequential batch reactor configurations found better biomass formation and production of extracellular polymeric substances and the continuous flow reactors showed lower installation and operating costs. From this perspective, the potential for full-scale application of each system can be evaluated once the optimum operating conditions have been defined and the limitations of each system have been understood.

The anaerobic treatment processes are considered to be well-established methods for the elimination of easily biodegradable organic matter from wastewaters. Some difficulties concerning certain wastewaters are related to the possible presence of dissolved oxygen. The common belief is that anaerobes are oxygen intolerant. Therefore, the common practice is to use sequencing anaerobic and aerobic steps in separate tanks. Enhanced treatment by polishing off the residual biodegradable oxygen demand from effluents of anaerobic reactors, or the biodegradation of recalcitrant wastewater pollutants, usually requires sequenced anaerobic and aerobic bacteria activities. However, the combined activity of both bacteria can also be obtained in a single reactor. Previous experiments with either pure or mixed cultures showed that anaerobes can tolerate oxygen to a certain extent. The oxygen toxicity to methanogens in anaerobic sludges was quantified in batch experiments, as well as in anaerobic reactors. The results showed that methanogens have a high tolerance to oxygen. In practice, it was confirmed that dissolved oxygen does not constitute any detrimental effect on reactor treatment performance. This means that the coexistence of anaerobic and aerobic bacteria in one single reactor is feasible and increases the potentials of new applications in wastewater treatment