Alkaline leachate from bauxite residue disposal areas is likely to require treatment for post-closure. Traditional treatment methods are not attractive in the long-term due to management requirement, energy input and operational logistics and passive approaches offer an alternative approach. Constructed wetlands are widely cited as a potential treatment option but there is limited data on long term field-scale applications.Treatment of alkaline residue leachate was assessed over a 52 month period and showed effective pH reductions from ca. pH 11.2 (inflow) to 7.2 (outflow). Trace element content measured during the 4th year of operation demonstrated effective reduction in trace element (Al 17,256 mu g/l to 330 mu g/l; V 140 mu g/l to 13 mu g/l) with no evidence of toxicity in test species Vibrio fischeri, Skeletonema costatum, Tisbe battagliai and Oncorhynchus mykiss in the wetland outflow. Sediment analysis found some increases in trace element content but no evidence of accumulation in Phragmites was found in vegetation sampling.Longevity and management requirements for constructed wetland treating alkaline bauxite residue leachate are more likely to be impacted from increases in soil Na and pH. Increases are more evident in front sections of wetland but it is proposed that loading to wetlands can be decreased by incorporation of other passive technologies within the overall treatment approach and by feeding different sections of the wetlands on a cyclical basis.