Peracetic acid (PAA) has gained increasing attention over the last decades as a suitable and environmentally-friendly alternative to chlorine-based compounds for wastewater disinfection, claiming limited disinfection by-products (DBPs) formed and no persistent residues in the environment. The present work aims at presenting a comprehensive and updated review of the ecotoxicological effects of effluents treated with PAA, to be ascribed to residual PAA and hydrogen peroxide (H2O2) and DBP formation. Modest concentrations of DBPs have been observed after PAA treatment, mainly carboxylic acids, which are not recognized as genotoxic. Moreover, there is no evidence of any endocrine disruption potential of PAA in human health or in the ecotoxicolo...