Sewage sludge was treated using composting, fixed-bed and stirred anaerobic digesters. The treatment performance in terms of the physico chemical parameters, bacterial indicators and pathogenic forms were assessed. In addition, the biogas production rate was recorded in the case of anaerobic digesters. Composting of the sewage sludge increased its total solids from 39 to 93% after 6 weeks, while the reduction in organic matter was 40% and the total nitrogen and phosphorus contents increased by 22 and 30%, respectively. Complete removal of salmonellae and faecal coliforms occurred, so that the composted sludge could be used as a soil conditioner and fertilizer. The results of the anaerobic treatment indicated that an organic load of 4.8 kg COD m-3 per day achieved the best operating conditions for either the stirred or fixed-bed digester. The mean percentage removals of COD, BOD, faecal coliforms, faecal streptococci and the biogas production rate for the stirred digester were 53, 53, 24 and 29% and 259 L kg-1 COD per day, respectively. The corresponding mean percentage removals and production rate for the experiments with a fixed-bed digester were 61, 62, 33 and 35% and 328 L kg-1 COD per day, respectively. Improvements in the BOD and faecal coliform reductions and the gas production rate of 17, 38 and 21%, respectively, were achieved due to the presence of media (Berl saddles) in the fixed-bed digester. The microbial content of the anaerobically treated sludge is too high to be used as a fertilizer, while that of the composted sludge is low enough for such use.