In subsurface flow constructed wetlands the flow of wastewater occurs between the roots of the plants and there is no water surfacing (it is kept below gravel). As a result, the system is more efficient, does not attract mosquitoes, is less odorous and less sensitive to winter conditions. Also, less area is needed to purify water. A downside to the system are the intakes, which can clog or bioclog easily, although some larger sized gravel will often solve this problem.
Subsurface flow wetlands can be further classified as horizontal flow or vertical flow constructed wetlands. In the vertical flow constructed wetland, the effluent moves vertically from the planted layer down through the substrate and out (requiring air pumps to aerate the bed). In the horizontal flow constructed wetland the effluent moves horizontally via gravity, parallel to the surface, with no surface water thus avoiding mosquito breeding. Vertical flow constructed wetlands are considered to be more efficient with less area required compared to horizontal flow constructed wetlands. However, they need to be interval-loaded and their design requires more know-how while horizontal flow constructed wetlands can receive wastewater continuously and are easier to build.
Due to the increased efficiency a vertical flow subsurface constructed wetland requires only about  of space per person equivalent, down to 1.5 square metres in hot climates.
The "French System" combines primary and secondary treatment of raw wastewater. The effluent passes various filter beds whose grain size is getting progressively smaller (from gravel to sand).