Aqueous solutions of the tinidazole (TNZ) have been treated by applying the combination of ultrasound irradiation and H2O2. Based on the results, the maximum removal efficiency of 75% was achieved under the optimum operating conditions (pH 3, 120 kHz frequency, 333 mM/L of H2O2 and 150 min of operating time) while, under the same conditions the minimum removal efficiency was found to be 8.5 by ultrasound radiation in the absence of H2O2. The results also revealed that the degradation of TNZ was enhanced with decreasing both TNZ initial concentrations and pH. Furthermore, TNZ removal efficiency in the case of actual wastewater was less than of synthetic wastewater (75% and 68% of synthetic and actual, respectively). According to the chromatographic analyses, no harmful intermediate compounds were observed. The chemical oxygen demand analysis (65% reduction) confirmed our findings.