Under Korea’s Enforcement Decree of the Framework Act on Environmental Policy amended in 2013, total organic carbon (TOC) is newly added as water quality parameter to assess organic pollution in the aquatic ecosystem. To meet the TOC requirement and improve quality of effluent discharged into public watershed, it is also necessary to develop standards for TOC in effluent from public sewage treatment works (PSTWs).In this study, we reviewed the characteristics and removal efficiency of TOC in influent and effluent of PSTWs. The study found that phosphorus treatment process removed not only soluble phosphorus but also a portion of TOC remaining after the secondary treatment process. TOC concentration in effluent from PSTWs operated in tandem with industrial wastewater treatment work was higher due to influx of insoluble substances from the industrial wastewater treatment work.In order to lay a foundation for the management of TOC from PSTWs, it is necessary to carry out research on TOC from different perspectives. For example, studies on the generation mechanism of TOC and the impact of TOC on drinking water resources, assessment of effluent qualities through monitoring, and development of measures to control TOC for the preservation of aquatic ecosystem are needed.