Innovative processes for treating industrial wastewater containing heavy metals often involve technologies for reduction of toxicity in order to meet technology-based treatment standards. This article reviews the recent developments and technical applicability of various treatments for the removal of heavy metals from industrial wastewater. A particular focus is given to innovative physico-chemical removal processes such as; adsorption on new adsorbents, membrane filtration, electrodialysis, and photocatalysis. Their advantages and limitations in application are evaluated. The main operating conditions such as pH and treatment performance are presented. Published studies of 94 cited references (1999–2008) are reviewed.