In this work, the recent trends in the application of the sulfate radical-based advanced oxidation processes (SR-AOPs) for the treatment of wastewater polluted with emerging contaminants (ECs) and pathogenic load were systematically studied due to the high oxidizing power ascribed to these technologies. Additionally, because of the economic benefits and the synergies presented in terms of efficiency in ECs degradation and pathogen inactivation, the combination of the referred to AOPs and conventional treatments, including biological processes, was covered. Finally, the barriers and limitations related to the implementation of SR-AOPs were described, highlighting the still scarce full-scale implementation and the high operating-costs associated, especially when solar energy cannot be used in the oxidation systems.