Batik is well known as one of the unique identifiers of the Southeast Asian region. Several countries that still preserve the batik heritage are Malaysia, Indonesia, China and India. The Batik industry holds a significant place in Malaysia's craft-based industry. In Malaysia, batik motifs and patterns are mostly hand-drawn and painted directly on fabric, therefore, each one is unique. The players in the Batik industry are mostly small businesses and cottage industries, particularly in the states of Kelantan, Terengganu, Pahang, Sabah and Sarawak. However, their market growth and contribution are not synchronized with the treatment system. The wastewater generated by this industry rarely meets standard effluent requirements and regulations, thus worrying the authorities. Batik wastewater is categorized as one of the highly polluted wastewaters. The toxicity of pollutants from batik may reduce environmental quality and pose a risk to human health. Batik wastewater needs extensive treatment, since no complete and appropriate treatment has been applied for so many years in specific batik industries. This paper reviews the batik industry in Malaysia, its wastewater generation and the available current treatment practices. It discusses integrated treatments of coagulation-flocculation and phytoremediation technology as a batik wastewater treatment process with potential utility in the batik industry. This review may become part of the guidance for the entire batik industry, especially in Malaysia.