To enhance nitrogen removal in an existing microbial contact oxidation (MCO) system with a treatment capacity of 900 m3/d, an upflow multilayer bioreactor (UMBR) was chosen as a preanoxic reactor for the removal of organic matter and nitrate. The removal performance of the retrofitted plant was evaluated during the startup phase at a low temperature in winter. The high removal (>80%) of organic matter and suspended solids in the UMBR provided stable nitrification conditions in the MCO system, as a result of the substantial reduction in organic matter and solids loaded onto the MCO system. This treatment system showed a stable nitrogen removal efficiency of 75.3%, even in the low temperature range 7 to 10 degrees C. Phosphorus was completely removed by chemical precipitation. Production rates of excess sludge, as a function of the loads of influent flowrate and biological oxygen demand (BOD), were 0.022 kg dry solid/m3 wastewater and 0.132 kg dry solid/kg BOD.