In many rural communities the building of sewage collection and treatment system is still current and important problem of water and wastewater management. Besides the collection of sewage in the septic tank, the solution for wastewater treatment from individual buildings without access to sewerage system is the construction of household sewage treatment plants. Construction of household sewage treatment plant poses a number of challenges for municipalities and potential investors. The existing plants should be analyzed, so that in the future the selected systems would be characterized by high performance, simple operation and reliable exploitation. In the paper, the assessment of selection criteria of adopted technical solution and the functioning of household sewage treatment plants is carried out.