The modern society generates large amounts of waste that represent a tremendous threat to the environment and human and animal health. To prevent and control this, a range of different waste treatment and disposal methods are used. The choice of method must always be based on maximum safety, minimum environmental impact and, as far as possible, on valorization of the waste and final recycling of the end products. One of the main trends of today's waste management policies is to reduce the stream of waste going to landfills and to recycle the organic material and the plant nutrients back to the soil. Anaerobic digestion (AD) is one way of achieving this goal and it will furthermore, reduce energy consumption or may even be net energy producing. This chapter aims at provide a basic understanding of the world in which anaerobic digestion is operating today. The newest process developments as well as future perspectives will be discussed.