Membrane bioreactor (MBR) technology is receiving increasing attention in wastewater treatment and reuse. This study presents an integral sustainability evaluation of a full scale MBR plant. The plant is capable of achieving prominent technical performance in terms of high compliance rate, low variation in effluent quality and high removal efficiency during long term operation. It is also more responsive to the new local standard with rigorous limits. However, electricity consumption is found to be the dominant process resulting in elevated life cycle environmental impacts and costs, accounting for 51.6% of the costs. As such, it is suggested to optimize energy use in MBR unit and implement sludge treatment and management. The prolonged membrane life span could also contribute largely to reduced life cycle environmental concerns and expenses. This study is of great theoretical significance and applicable value in guaranteeing the performance and sustainability of large scale MBR schemes.