Due to the large-scale production and use of synthetic chemicals in industralized countries, various chemicals are found in the aquatic environment, which are often termed as micropollutants. Effluents of municipal wastewater treatment plants (WWTPs) have been identified as one of the major sources of these micropollutants. In this article, the current status of occurrence and removal of micropollutants in WWTPs and their management policies and options in domestic and foregin countries were critically reviewed. A large number of pharmaceuticals, personal care products, and industrial chemicals are found in WWTPs’ influent, and are only partially removed by current biological wastewater treatment processes. As a result, some micropollutants are present in WWTPs’ effluents, which can negatively affect receiving water quality or drinking water source. To better understand and assess the potential risk of micropollutants, a systematic monitoring framework including advanced analytical tools such as high resolution mass spectrometry and bioanalytical methods is needed. Some Western European countries are taking proactive approach to controlling the micropollutants by upgrading WWTP with enahnced effluent treatment processes. While this enahnced WWTP effluent treatment appears to be a viable option for controlling micropollutant, its implementation requires careful consideration of the technical, economical, political, and cultural issues of all stakeholders.