Advances in anaerobic digestion technology by the CSIR (Council for Scientific and Industrial Research) allow the combination of anaerobic digestion processes with membrane bioreactor technology for an enhanced integrated system for sewage treatment, including effective energy recovery and nutrient reuse as well as the production of treated water of a very high quality. This system will be able to provide complete sewage treatment almost anywhere, depending on the availability of an adequate power source for the entire operation. Further development regarding the use of the biogas, combined with renewable energy, will allow this system to provide high-quality sewage treatment independent of its location.