Abstract: This paper provides a 'state of the art' overview of active mine water treatment. The paper discusses the process and reagent selection options commonly available to the designer of an active mine water treatment plant. Comparisons are made between each of these options, based on technical and financial criteria. The various different treatment technologies available are reviewed and comparisons made between conventional precipitation (using hydroxides, sulphides and carbonates), high density sludge processes and super-saturation precipitation. The selection of reagents (quick lime, slaked lime, sodium hydroxide, sodium carbonate, magnesium hydroxide, and proprietary chemicals) is considered and a comparison made on the basis of reagent cost, ease of use, final effluent quality and sludge settling criteria. The choice of oxidising agent (air, pure oxygen, peroxide, etc.) for conversion of ferrous to ferric iron is also considered. Whole life costs comparisons (capital, operational and decommissioning) are made between conventional hydroxide precipitation and the high density sludge process, based on the actual treatment requirements for four different mine waters.