Abstract Wastewater reuse coupled to managed aquifer recharge (MAR) provides a means to store and reuse treated wastewater (TWW) year-round. Determining the fate of nutrients in the subsurface during MAR remains challenging for environmental regulation due to the interaction of the MAR source water with site specific aquifer conditions. To facilitate the understanding of natural treatment processes, this study uses operational monitoring data from a full-scale aquifer storage and recovery (ASR) scheme using TWW to assess nutrient (N and P) transformation and fate. Analysis of median water quality injected into and recovered from the ASR wells for two complete ASR cycles (June 2014 to March 2016) was used to describe the removal of nutrients in an anoxic carbonate aquifer. Total nitrogen (TN) removal was dominated by redox processes, with median removal of 40 to 60% for TN and nitrate (the dominant N species) and higher removal of ammonia (95%) and total Kjeldahl nitrogen (TKN) (70%). Total phosphorous (TP) removal was also observed (~ 90%) due to sorption (filterable reactive phosphorous median removal of ~ 80%). A 40% increase in median salinity was evident within each ASR cycle due to recovery of the entire volume of injected water each year (ambient groundwater is 200% higher in TDS, on average). A reduction in salinity of the recovered water could be achieved by leaving a residual of source water in the aquifer to create a buffer zone between the ambient groundwater and the fresher source water.