Poly- and perfluoroalkyl substances (PFASs) have been detected in an increasing number of water supplies. In many instances, the contamination is associated with the use of PFAS-containing aqueous film-forming foams (AFFF) in firefighting activities. To investigate the potential for remediating AFFF contamination in groundwater with heat-activated persulfate, PFAS oxidation and the generation of transformation products was evaluated under well-controlled conditions. Fluorotelomer- and perfluoroalkyl sulfonamide-based polyfluorinated compounds were transformed to perfluorinated carboxylic acids, which underwent further degradation under acidic conditions produced after persulfate decomposed. The presence of aquifer sediments decreased the efficiency of the remedial process but did not alter the transformation pathways. At high concentrations, the presence of organic solvents, such as those present in AFFF formulations, inhibited transformation of a representative perfluorinated compound, perfluorooctanoic acid. Heat-activated persulfate did not transform perfluorooctanesulfonic acid or perfluorohexanesulfonic acid under any conditions. Despite challenges associated with the creation of acidic conditions in the subsurface, the potential for generation of undesirable transformation products, and the release of toxic metals, heat-activated persulfate may be a useful in situ treatment for sites contaminated with polyfluoroalkyl substances and perfluorocarboxylic acids.