In this article, the removal of cephalexin (CFX) antibiotic from non-clinical environment is reviewed. Adsorption and photocatalytic degradation techniques are widely used to remove CFX from waters and wastewaters, the combination of these methods is becoming more common for CFX removal. The treatment methods of CFX has not been reviewed before, the present article aim is to organize the scattered available information regarding sustainable approaches for CFX removal from non-clinical environment. These include adsorption by nanoparticles, bacterial biomass, biodegradation by bacterial enzymes and the photocatalysis using different catalysts and Photo-Fenton photocatalysis. The metal-organic frameworks (MOFs) appeared to have high potential for CFX degradation. It is evident from the recently papers reviewed that the effective methods could be used in place of commercial activated carbon. The widespread uses of photocatalytic degradation for CFX remediation are strongly recommended due to their engineering applicability, technical feasibility, and high effectiveness. The adsorption capacity of the CFX is ranging from 7 mg CFX g-1 of activated carbon nanoparticles to 1667 mg CFX g-1 of Nano-zero-valent iron from Nettle. In contrast, the photo-degradation was 45% using Photo-Fenton while has increased to 100% using heterogeneous photoelectro-Fenton (HPEF) with UVA light using chalcopyrite catalyst.