In the past there was a prevailing feeling in industry that power ultrasound would be too expensive to use for water treatment on an industrial scale. This was based on calculations involving the direct scale up of power consumption in small-scale (generally batch) laboratory experiments. In recent times this attitude has changed somewhat as a result of the installation of a number of ultrasonic devices in operational water or sewage treatment plants. In our laboratories we have investigated the decontamination of water under the influence of ultrasound alone and in conjunction with other treatments. The results, particularly when applied to flowing systems, indicate a real future for sonochemistry in water treatment.