This study investigated the treatment of acetaminophen in municipal wastewater by conventional ozonation, ozone-based advanced oxidation, ozone/UV, and the electro-peroxone process. The ozone/UV process and electro-peroxone process of electric power consumption increased 1.25 and 2.04 times, respectively, compared to the ozone process. The pseudo-steady OH radical concentration was the greatest in the electro-peroxone process and lowest in the ozone process. The specific energy consumption for TOC decomposition of the ozone/UV process and electro-peroxone process were 22.8% and 15.5% of the ozone process, respectively. Results suggest that it is advantageous in terms of degradation performance and energy consumption to use a combination of processes in municipal wastewater treatment, rather than an ozone process alone. In combination with the ozone process, the electrolysis process was found to be more advantageous than the UV process.