Constructed wetlands (CWs) have emerged as effective nature-based solutions (NbS) for the treatment of industrial dairy wastewater (DWW), which is characterized by high organic loads, elevated nutrient concentrations, and pronounced operational variability. Despite increasing implementation, quantitative engineering evidence supporting design optimization and scalability remains fragmented. Herein, we present a semi-quantitative synthesis of CW performance for DWW treatment, explicitly linking hydraulic and operational parameters with pollutant removal efficiencies. A systematic review of 38 peer-reviewed studies published between 1995 and 2025 was conducted in accordance with PRISMA 2020 guidelines. Treatment performance was normalized and evaluated as a function of hydraulic retention time (HRT), organic loading rate (OLR), system configuration, and climatic context. The results demonstrate that hybrid CWs combining vertical and horizontal subsurface flow most frequently achieved COD and BOD5 removal efficiencies exceeding 90% when operated within an observed operating envelope, typically including HRT ranges of 4–8 h (VSSF; n = 4) and 3–7 days (HSSF; n = 14), and OLR values below 30 g COD m−2 d−1 (n = 7, among studies reporting OLR). Operation outside this operating envelope was generally associated with reduced treatment stability and an increased likelihood of operational constraints (e.g., clogging). Substrate porosity, vegetation diversity, and climate further modulated long-term performance and system resilience. Based on the consolidated evidence, this review suggests transferable operational design envelopes and configuration-specific implementation pathways that translate empirical findings into practical engineering guidance, supporting the scalable adoption of CWs as low-energy NbS for decentralized and sustainable DWW management.
Trujillo-García et al. (Sun,) studied this question.