The aim of this study was to investigate the synergistic effects of the process of iron-carbon microelectrolysis (ICME) followed by struvite (MAP) crystallization on treating antibiotic wastewater. Characteristics of ICME effluent depended mainly on the iron to carbon mass ratio (Fe/C). The optimum reaction conditions of Fe/C ratio of 2:1 and reaction time of 90 min were observed. The ICME effluent was further treated by MAP crystallization using Na2HPO4·12H2O and MgCl2·6H2O as precipitation agents. The results showed that, the Mg2+/NH4 +-N/PO4 3−-P molar ratio of 1:1:1 and pH 8.5, were suitable for the crystallization process, which could obtain high-quality MAP containing 5.18 % N,10.23 % Mg, and 13.83 % P. Optimal total removal rate of COD and NH4 +-N removal rate achieved 84.6 and 89.9 %, respectively. The economic evaluation of NH4 +-N recovery by the synergistic process was also conducted, indicating that the synergistic process had the potential to benefit COD emission reduction and nitrogen recovery.