Non-point sources of pollution, primarily agricultural drainage waters, can cause eutrophication and deterioration of water bodies. Surface flow constructed wetlands (SFCWs) are an ecological solution that can represent an efficient barrier and prevent agricultural pollutants from reaching other ecosystems. However, to better manage them and to understand removal processes occurring, it is important to study SFCWs that are functioning for longer periods of time and assess their efficiencies. This study concentrates on a full-scale SFCW in the Northern Italy that has been treating agricultural drainage water for past 20 years. An in-deep monitoring done for two years (2018 and 2019) showed that the system achieved satisfactory retention of up to 82% for TSS and up to 78% for TN and NO3 --N. TP retention seemed to be poor, but further analysis showed that the SFCW performed well in this aspect as well, and that it is important to include precipitation loads in the overall balance. Soil content of nutrients and different trace elements did not show considerable differences in respect to the beginning of the monitoring period, and the uptake rates of TN and TP by above-ground vegetation were in the range 19.0-26.3 and 1.6-2.1 g m -2 , respectively.