Most of polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) and powder activated carbon (PAC) in hospital solid waste incinerator fly ash are enriched in the froths produced through flotation. Because PAC is an excellent microwave absorber, microwave treatment was performed on the froths in this study to decompose PCDD/Fs. The results showed that the destruction efficiency of PCDD/Fs increased with increasing microwave incident power and processing time, particularly for highly chlorinated PCDD/Fs. With a microwave incident power of 2100 W at 7 min, the total mass destruction efficiency of the PCDD/Fs in the froths reached 99.6 wt.% and the total toxic equivalent (TEQ) of PCDD/F was substantially reduced from 29.0 to 0.08 ng-I-TEQ/g. PCDD/Fs in the froths were mostly decomposed and evaporated very little into exhaust gas under microwave treatment, especially at 2100 W. The treated froths displayed good porous structures, enabling the potential recovery of PAC for reuse. Microwave treatment of the froths could promote the rapid decomposition of PCDD/Fs and the recovery of a typical waste resource; also it could present a viable alternative to combustion treatment for the froths. (C) 2016 Elsevier B.V. All rights reserved.