This literature review examines process, design, and cost issues related to using oxidation ponds for wastewater treatment. Many of the topics have applications at either full scale or in isolation for laboratory analysis. Oxidation ponds have many advantages. The oxidation pond treatment process is natural, because it uses microorganisms such as bacteria and algae. This makes the method of treatment cost-effective in terms of its construction, maintenance, and energy requirements. Oxidation ponds are also productive, because it generates effluent that can be used for other applications. Finally, oxidation ponds can be considered a sustainable method for treatment of wastewater.