The document compares membrane bioreactors (MBR) and moving bed biofilm reactors followed by ultrafiltration (MBBR-UF) for wastewater treatment. MBR immerses membranes directly in mixed liquor, resulting in high fouling and energy use. MBBR-UF separates biological and membrane processes, maintaining low biomass levels and fouling for the UF membranes. This allows for higher flux rates, lower energy use, and reduced capital and operating costs compared to conventional MBR systems.