The fluoride adsorption onto the hydroxide flocs of Al(III), Fe(III), or a mixture of the two was studied. The optimum pH was influenced by the flocs' solubility and surface charge. Although the Al(III) hydroxide flocs had a maximum adsorption capacity at the equilibrium concentration of 8 mg-F/L, the two-stage adsorption process revealed that the mixture of the Al(III) and Fe(III) hydroxide flocs required the smallest adsorbent dose as the concentration changed from 40 to 8 mg-F/L. Thus, the simultaneous dosing of Al(III) and Fe(III) combined with a two-stage adsorption process appears to be an effective option for fluoride removal.