The small-scale sewage treatement system with A2/O process was applied to evaluate applicability for Mongolian sewage, It was designed to have 10 m3/d flowrate and installed in Ulaanbaatar, Mongolia. During over 6month operation BOD, COD, TN, TP removal efficiency were measured and operation condition was optimized. In addition, MLSS concentration its internal circulation rate and DO were adjusted properly. BOD, COD showed average 88 perecent of removal and TN and TP achieved 81 percent and 88 percent removal efficency, respectively. Maxium influent concentration of BOD, COD, TN and TP was 214 mg/L, 300 mg/L, 24.3 mg/L and 5 mg/L respectively, which were decreased to 4.1 mg/L, 5.6 mg/L, 1.3 mg/L and 0.15 mg/L by the test system. This study show possibility tham small-scale sewage treatment system could be a useful system for scattered sewage wastewater treatment.