Biological aerated filters (BAFs) are an emerging wastewater treatment technology designed for a wide range of municipal and industrial applications. This review paper presents and discusses of the influence C/N ratio, nitrification and denitrification principle, effect of pH, DO and alkalinity on the nitrification and denitrification systems, organic and hydraulic loading of BAF reactor, etc. Results from upflow and downflow biofilter pilot at different condition, with nitrification and denitrification are reviewed. Under the optimal conditions, significant amount of COD, ammonia-nitrogen and total nitrogen were removed. Removal rates based on reactor volume for different carbon-aceous COD and ammonia loading rate are reported. The BAF system for the nitrification and denitrification processes for carbon and nitrogen removal from the wastewater need to be evaluated and applied properly to protect of our environment and resources.