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In this research, Ti/SnO 2 –RuO 2 stable anode was successfully prepared by thermal decomposition method, and low concentration cefotaxime sodium (CFX) was degraded by green and sustainable electrocatalytic oxidation technology. The electrocatalytic activity and stability of the Ti/SnO 2 –RuO 2 coating electrode were studied according to the polarization curve of oxygen and chlorine evolution. The effects of current density, initial concentration, pH, electrolyte concentration, and other technological parameters on the degradation efficiency were discussed. Orthogonal experiment results indicated that when the current density was 25 mA cm−2, concentration of electrolyte was 5 mM and the pH value was 7, the best CFX removal rate of 86.33% could be obtained. The degradation efficiency of electrocatalytic oxidation was discussed through electrochemical analysis. Fourier transform infrared spectroscopy was used to analyze the different inlet and outlet stages before and after the degradation of CFX, and the possible degradation process was discussed. Therefore, the electrocatalytic oxidation of Ti/SnO 2 –RuO 2 electrode was a clean and efficient technology, which could be widely used in the treatment of CFX wastewater. [Display omitted] • SnO 2 and RuO 2 are used as dopant to DSA to the degradation of cefotaxime sodium. • Ti/SnO 2 –RuO 2 anode displays excellent stability and electrochemical activity. • ·OH and ClO− play a decisive role in the removal of cefotaxime sodium. • Cefotaxime sodium removal efficiency of 86.33% is reached. [ABSTRACT FROM AUTHOR]