Ultraviolet light-emitting diode (UV-LED) is a newly emerging UV light source with a potential of replacing the conventional chemical methods, mercury UV lamps and xenon lamps in water disinfection applications. In this chapter, we will first give a general description on the status of E. coli disinfection in water by UV-LEDs. Then the main text will concentrate on our experimental studies. We will discuss the effects of single and combined UV-LED irradiation on E. coli in water, including the inactivation efficiency, the recover percentage after the UV-LED irradiation, the optimal wavelength for low energy consumption, differences in pulsed and continuous operations of UV-LEDs, effect of UVA-LED followed by UVC-LED irradiation and vice versa, and finally the effect of TiO 2-assisted photocatalytic disinfection.