The presence of poly- and perfluoroalkyl substances (PFAS) has caused serious problems for drinking water supplies especially at intake locations close to PFAS manufacturing facilities, wastewater treatment plants (WWTPs), and sites where PFAS-containing firefighting foam was regularly used. Although monitoring is increasing, knowledge on PFAS occurrences particularly in municipal and industrial effluents is still relatively low. Even though the production of C8-based PFAS has been phased out, they are still being detected at many WWTPs. Emerging PFAS such as GenX and F-53B are also beginning to be reported in aquatic environments. This paper presents a broad review and discussion on the occurrence of PFAS in municipal and industrial wastewater which appear to be their main sources. Carbon adsorption and ion exchange are currently used treatment technologies for PFAS removal. However, these methods have been reported to be ineffective for the removal of short-chain PFAS. Several pioneering treatment technologies, such as electrooxidation, ultrasound, and plasma have been reported for PFAS degradation. Nevertheless, in-depth research should be performed for the applicability of emerging technologies for real-world applications. This paper examines different technologies and helps to understand the research needs to improve the development of treatment processes for PFAS in wastewater streams.