Current wastewater management paradigms favor centralized solutions, as taught in traditional engineering schools, which imply high capital costs, long-range water transfer, long and disruptive construction and highly trained operators. On the other hand, small decentralized systems are seldom considered even though they require lower capital costs, less disruptive infrastructure construction and allow for the maintenance of a closer, more sustainable water cycle. This manuscript starts with an extensive review of the long history of wastewater systems, from the Greek antiquity to the modern era. The use of natural and physical systems in history and their evolution into modern technology is also analyzed. Finally, future trends are conside...