This paper presents the results of a study of four full-scale upflow gravel filters that are part of full-scale multi-stage filtration. The study explored the design criteria, the operation and maintenance (O&M) practices, and the performance of the systems. Findings showed that most design criteria and O&M procedures are following the recommendations as presented in the literature but several diversions were also identified. Performance data showed that removal efficiencies were on the low side when compared to the literature, possibly because of the good influent quality water that was treated. Cleaning efficiency was analyzed and the overall conclusion is that an adjustment of the design criteria and O&M procedures is needed to enhance system performance. This includes drainage system design, surface cleaning by weir, and filter bed cleaning to allow a reduction in cleaning cycles and an improvement in operation control.