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The membrane fouling is the main bottleneck hindering the wide applications of anammox-membrane bioreactor (MBR). In this study, surface-coating hydrophilic modification of the membrane using polyvinyl alcohol was applied in a granular anammox-MBR. Stable anammox performance of 77% total nitrogen removal efficiency was achieved in both original and modified MBRs, along with decreasing anammox granule size. The modified membrane exhibited superior flux performance, and the membrane foulants were reduced in the MBR operation. Specific