Biofiltration is a process in which an otherwise conventional granular filter is designed to remove not only fine particulates but also dissolved organic compounds through microbial degradation. Biofiltration can reduce the need for chemicals in drinking water treatment and thus improved applications of biofiltration in drinking water treatment can be viewed as green or sustainable engineering technology. Recent trends in biofiltration technology for drinking water treatment have or have attempted to extend the performance of biofilters through gaining a better understanding of operational constraints. This review articles summarizes important operational parameters influencing biofiltration performance such as hydraulic loading, empty bed contact time (EBCT), temperature, media type, and backwashing conditions. In addition, recent advancements in biofiltration operations including, ozonation, ammonia removal and the influence of nutrient (nitrogen, phosphorous) supplementation to facilitate carbon removal are explored.