The technical papers published in 2019 regarding wastewater treatment and microbial films were classified into two categories: biofilm and biofilm reactors. The biofilm category includes biofilm formation, biofilm consortia, bacterial signals, biofouling, extracellular polymeric substances, and biofilm membrane bioreactors. The biofilm reactors category provides recent information on rotating biological contactors, fluidized-bed biofilm reactors, integrated fixed-film activated sludge, moving-bed biofilm reactors, packed-bed biofilm reactors, sequencing biofilm batch reactors, and trickling filters.