The “dual-carbon” strategy promotes the development of the wastewater treatment sector and is an important tool for leading science and technology innovations. Based on the global climate change and the new policies introduced by China, this paper described the new needs for the development of wastewater treatment science and technology. It offered a retrospective analysis of the historical trajectory of scientific and technological advancements in this field. Utilizing bibliometrics, it delineated the research hotspots within wastewater treatment, notably highlighting materials genomics, artificial intelligence, and synthetic biology. Furthermore, it posited that, in the future, the field of wastewater treatment should follow the paths of technological innovations with multi-dimensional needs, such as carbon reduction, pollution reduction, health, standardisation, and intellectualisation. The purpose of this paper was to provide references and suggestions for scientific and technological innovations in the field of wastewater treatment, and to contribute to the common endeavor of moving toward a Pollution-Free Planet.