The objective of this dissertation was to provide a controlled comparison of identical continuous flow BNR processes both with and without prefermentation in order to provide a stronger, more quantitative, technical basis for design engineers to evaluate the potential benefits of prefermentation to EBPR in treating domestic wastewater. In addition, the even less understood effect of prefermentation on denitrification kinetics and anoxic phosphorus (P) uptake was studied and quantified. Other aspects of BNR performance, which might change due to use of prefermentation, will also be addressed, including anaerobic stabilization. Potential benefits to BNR processes derived from prefermentation are compared and contrasted with the more well-known benefits of primary clarification. Finally, some biokinetic parameters necessary to successfully model both the activated sludge systems and the prefermenter were determined and compared for the prefermented versus the non-prefermented system. Important findings developed during the course of this dissertation regarding the impact of prefermentation upon the performance of activated sludge treatment systems are summarized below: • For a septic COD-limited (TCOD:TP < 40:1) wastewater, prefermentation was found to enhance EPBR by 27.7% at a statistical significance level of alpha=0.05 (95% confidence level). • For septic P-limited (TCOD:TP > 40:1) wastewaters, prefermentation was not found to improve EBPR at a statistical significance level of alpha=0.05 (95% confidence level). • The increased anaerobic P release and aerobic P uptakes due to prefermentation correlated with greater PHA formation and glycogen consumption during anaerobiosis of prefermented influent. • Improvements in biological P removal of septic, non-P limited wastewater occurred even when all additional VFA production exceeded VFA requirements using typical design criteria (e.g. 6 g VFA per 1 g P removal). • Prefermentation increased RBCOD content by an average of 28.8% and VFA content by an average of 18.8%, even for a septic domestic wastewater. • Prefermentation increased specific anoxic denitrification rates for both COD-limited (14.6%) and P-limited (5.4%) influent wastewaters. This increase was statistically significant at alpha=0.05 for COD-limited wastewater, but not for P-limited wastewater.