Abstract: Nitrogen and phosphorus removal from wastewater is a critical issue in the recent field of water environment management. The anaerobic ammonia oxidation (anammox) process offers significant advantages, including saving aeration energy and organic carbon sources and producing less sludge. As the study progressively advances, based on partial nitrification and partial denitrification combining with Anammox processes have been conducted, providing more possibilities for the wide range of practical applications of this process. Combining Anammox technology with biological phosphorus removal and chemical phosphorus removal methods can not only achieve nitrogen and phosphorus removal from wastewater but also offer new ideas for resource recovery. This paper synthesizes the current research status of anammox in recent years, and briefly analyzes the coupling research related to phosphorus removal between anammox and traditional biological phosphorus removal, denitrifying phosphorus removal, and chemical precipitation. It also provides a brief analysis of the principles, advantages, and experimental progress of different types of processes, aiming to offer a theoretical basis and technical reference for efficient removal of nitrogen and phosphorus nutrients from wastewater.