Effective management of sanitation andwastewater is a growing challenge in dense urbansettlements. Rapidly increasing urbanization and, along withthat, rising settlement densities in low-income urban andperi-urban areas highlight the need for sanitationtechnologies and management systems that are robust andaffordable, and which lessen the pollution load on localwater sources. In many developing countries, centralizedsewerage and wastewater treatment systems cover only aportion of larger urban areas, and are often not yet plannedfor smaller towns and densely populated, low-income areas ofcities. On-site sanitation is often inappropriate in thedenser settlements and slum areas, thus requiringintermediate and complementary solutions. Decentralizedwastewater treatment systems (DEWATS) connected tosimplified sewer systems or communal sanitation centers havethe potential to close the gap between on-site andcentralized systems. Community-managed DEWATS offer thepossibility of swift sanitation improvements in highpriority neighborhoods that communities can managethemselves, where local government does not yet provide afull sanitation service. This review exploresIndonesia's experience in implementingcommunity-managed DEWATS on a growing scale, and morespecifically, whether community-managed DEWATS are a viableurban sanitation option for serving poor households in dense settlements.