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Landfilling is known to be the most widely used method in municipal solid waste management in many countries. Landfill leachate containing different recalcitrant compounds are recognized to contaminate the soil and water and accordingly threat both the human health and environment. A variety of chemical and biological methods have recently been employed for landfill leachate treatment, one of which is the ultrasonic process. In this review, the efficiency of the ultrasound-assisted method for leachate treatment, factors influencing the treatment process are studied by defining a search protocol. The results showed that ultrasound can reduce pollutants by creating cavitation, microstreaming, and microturbulence. Increasing turbidity in initial of irradiation time and increasing the cost of treatment are the disadvantages of using ultrasonic in leachate treatment. Moreover, ultrasound-assisted method leads to improve the leachate quality, especially the COD/BOD. Therefore, ultrasound can be considered a good pretreatment for biological processes. Although, the application of this process in combination with other treatment processes such as biological processes and advanced oxidation increases the efficiency of leachate treatment, its efficiency depends on several factors such as exploitation features and leachate quality., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)