A method of wastewater treatment that reduced equipment cost and running cost and realizes high efficiency implementation and further tank miniaturization, and that reduces excess sludge withdrawal. There is provided a method of wastewater treatment with excess sludge withdrawal reduced, characterized in that there are installed an aeration tank wherein wastewater is brought into contact with carrier particles under aerobic conditions, a total oxidization tank and a sedimentation tank, and that operation is made while maintaining the BOD sludge load in the total oxidization tank at 0.08 kg-BOD/Kg-MLSS*day or smaller, and that a coagulant is charged in the complete oxidization tank in order to improve the setting in the sedimentation tank.