Prevention of pollution from combined sewer overflows (CSOs) is currently a major concern due to their impact on aquatic and human environment. With the stringent regulations related to the CSOs treatment, it is necessary to develop an efficient, fast and low cost treatment technique that meets the applicable criteria. In this work, the comprehensive study was done to determine the efficiency of ferrate (VI) for the treatment of CSOs. At a Fe (VI) dose of 0.24 mg/l, TCOD, SCOD, TBOD 5 , SBOD 5 , TSS, VSS, TP, TN and soluble TN removal efficiencies of 71%, 75%, 69%, 68%, 72%, 83%, 64%, 38% and 36% respectively were achieved. Kinetic studies revealed that a contact time of only 15 minutes is sufficient to achieve secondary effluent criteria. An innovative technique of using primary sludge (PS) and thickened waste activated sludge (TWAS) as a source for the in-situ synthesis of ferrate was explored. A comparative study of treatment efficiencies achieved by Fe (VI) generated from different sources was done. At 0.1 mg/l dose of Fe (VI) synthesized from PS, TCOD, SCOD, TSS, VSS, TP and TN removal efficiencies of 60%, 62%, 63%, 67%, 30% and 25% respectively were achieved.