Due to the presence and significance of alumina in the natural aquatic environment and its increasing application in drinking and wastewater purification, the knowledge of the structure of alumina and its possible interactions with organic and inorganic compounds in water are of great importance. This is of particular importance in both the understanding of natural aquatic environment processes and efficient industrial applications. The chemistry of alumina reactions in water is complex. The adsorption ability of alumina towards organic and inorganic compounds might be influenced by several factors such as: surface characteristics of the adsorbent (surface area, density, pore volume, porosity, pore size distribution, pHPZC as well as mechanical strength and purity), pH of the solution, ionic strength, composition of water and the physicochemical properties of adsorbates. The aim of this paper is to give a brief review of the properties of alumina and its reactivity with organic and inorganic compounds present in aqueous solutions. It also summarises the usage of alumina and alumina supported phases in water treatment technology.