Scarcity of fresh high-quality water has heightened the importance of wastewater reuse primarily in dry regions together with improving its efficient use by implementing the Subsurface Drip Irrigation (SDI) method. Sustainable effluent reuse combines soil and plant aspects, along with the maintainability of the application system. In this study, field experiments were conducted for two years on the commercial farm of Revivim and Mashabay-Sade farm (RMF) southeast of the City of Beer-Sheva, Israel. The purpose was to examine the response of alfalfa (Medicago sativa) as a perennial model crop to secondary domestic effluent application by means of a SDI system as compared with conventional overhead sprinkler irrigation. Emitters were installed at different depths and spacing. Similar amounts of effluent were applied to all plots during the experimental period. The results indicated that in all SDI treatments, the alfalfa yields were 11% to 25% higher than the ones obtained under sprinkler irrigated plots, besides the one in which the drip laterals were 200 cm apart. The average Water Use Efficiency (WUE) was better in all SDI treatments in comparison with the sprinkler irrigated plots. An economic assessment reveals the dependence of the net profit on the emitters' installation geometry, combined with the return for alfalfa in the market.