Members of the genus Cryptosporidium are waterborne protozoa of great health concern. Many studies have attempted to find appropriate surrogates for assessing Cryptosporidium filtration removal in porous media. In this study, we evaluated the filtration of Cryptosporidium parvum in granular limestone medium by the use of biotin-and glycoprotein-coated carboxylated polystyrene microspheres (CPMs) as surrogates. Column experiments were carried out with core material taken from a managed aquifer recharge site in Adelaide, Australia. For the experiments with injection of a single type of particle, we observed the total removal of the oocysts and glycoprotein-coated CPMs, a 4.6-to 6.3-log 10 reduction of biotin-coated CPMs, and a 2.6-log 10 reduction of unmodified CPMs. When two different types of particles were simultaneously injected, glycoprotein-coated CPMs showed a 5.3-log 10 reduction, while the uncoated CPMs displayed a 3.7-log 10 reduction, probably due to particle-particle interactions. Our results confirm that glycoprotein-coated CPMs are the most accurate surrogates for C. parvum; biotin-coated CPMs are slightly more conservative, while unmodified CPMs are markedly overly conservative for predicting C. parvum removal in granular limestone medium. The total removal of C. parvum observed in our study suggests that granular limestone medium is very effective for the filtration removal of C. parvum and could potentially be used for the pretreatment of drinking water and aquifer storage recovery of recycled water. W aterborne cryptosporidiosis is mainly caused by Cryptosporidium parvum and Cryptosporidium hominis in humans (1). Cryptosporidium can be found in water contaminated with infected human or animal feces and has a low infectious dose, and ingestion of less than 10 oocysts can lead to infection (2). Cryptosporidium oocysts are sometimes detected in drinking water supplies (3) and in potable groundwater (4), causing disease outbreaks. For example, in the 1993 cryptosporidiosis outbreak in Milwaukee, WI, USA, about 400,000 people were infected and more than 100 people died after contamination of drinking water by C. parvum (5). More recently, a waterborne outbreak of cryptosporidiosis in Ö stersund, Sweden, which infected 27,000 people in 2010, was caused by C. hominis (6).C. parvum can survive in surface water and groundwater for a long period of time (7) and is resistant to chemical disinfection, like chlorination (8) and ozonation (9), due to its thick oocyst wall. UV irradiation with low-and medium-pressure lamps has been found to be effective at inactivating C. parvum (10). However, the efficacy of UV irradiation as well as that of chemical disinfection is hampered by turbidity in the water. Thus, filtration is often used as an essential primary step for drinking water treatment in the course of a multibarrier treatment system because it is effective and cost-efficient.Because it is extremely infectious and highly resistant to chlorination, testing for C. parvum is often used in risk analysis of drin...