The urbanization in Metropolitan cities like Bangalore due to growth in population, increasing the demand of providing basic requirements such as safe drinking water, sanitation and infrastructure. The efficiency of the RajaRajeswari Medical College and Hospital (RRMCH) domestic Sewage Treatment Plant (STP), Bangalore will be worked out during the entire project. The selected parameters were pH, Turbidity, Total Suspended Solids (TSS), Chemical Oxygen Demand (COD), Cake Resistance (RC), and Mixed Liquor Suspended Solids (MLSS)/Mixed Liquor Volatile Suspended Solids (MLVSS). The treated and non-treated samples were collected every Thursday and Friday for 5 days and were tested in the RajaRajeswari College of Engineering (RRCE) laboratory. The concentration of varies water quality parameters are related with the Wastewater disposal standards of BIS (Bureau of Indian Standards).Removal of Biological characteristics is also examined. Additionally, the problems associated with the operation and maintenance of the wastewater treatment plant is discussed, and suitable recommendations have been made to reactivate the sewage treatment plant and to help the RRMCH organization reuse the sewage water effectively.