Due to environmental health and nutrient impact concerns, the conventional on-site sewage collection, treatment, and disposal systems are no longer able to meet the nutrient reduction requirements for wastewater effluent and may represent a large fraction of pollutant loads. The loads include not only nitrogen (N) and phosphorus (P), but also pathogens such as fecal coliform and E. coli which indicate the presence of other disease-causing bacteria flowing into aquatic system that adversely affect public health. A subsurface upflow wetland, which is an effective small-scale wastewater treatment system with low energy and maintenance requirements and operational costs, fits the current nutrient and pathogen removal situation having received wide attention throughout the world. Within this research study, a subsurface upflow wetland system (SUW), including four parallel SUW (three planted versus one unplanted), were constructed as a key component of the septic tank system receiving 454 liters per day (120 GPD) influent using the green sorption media along with selected plant species. It was proved effective in removing both nutrients and pathogens. During a one month test run, the planted wetlands achieved a removal efficiency of 84.2%, 97.3 %, 98.93 % and 99.92%, compared to the control wetland, 10.5%, 85.7 %, 99.74 % and 100.0 %, in total nitrogen (TN), total phosphorus (TP), fecal coli and E.Coli, respectively. Denitrification was proved to be the dominant pathway for removing N as evidenced by the mass balance and real-time PCR analyses. A simplified compartmental dynamics simulation model of constructed subsurface upflow wetlands was also developed to provide a dependable reference and tool for design of constructed subsurface upflow wetland.