Sanitary landfilling is a proven way for disposal of municipal solid waste (MSW) in developed countries in general and in developing countries in particular, owing to its low immediate costs. On the other hand, landfilling is a matter of concern due to its generation of heavily polluted leachate. Landfill leachate becomes more refractory with time and is very difficult to treat using conventional biological processes. The aged refuse-based bioreactor/biofilter (ARB) has been shown to be a promising technology for the removal of various pollutants from landfill leachate and validates the principle of waste control by waste. Based on different environmental and operational factors, many researchers have reported remarkable pollutant removal efficiencies using ARB. This paper gives an overview of various types of ARBs used; their efficiencies; and certain factors like temperatures, loading rates, and aerobic/anaerobic conditions which affect the performance of ARBs in eliminating pollutants from leachate. Treating leachate by ARBs has been proved to be more cost-efficient, environment friendly, and simple to operate than other traditional biological techniques. Finally, future research and developments are also discussed.