Anaerobic digestion (AD) is an adequate alternative to treat wastewater generated from fruit and vegetable processing (FVWW); likewise, in recent years, artificial wetlands (AWs) have been applied as a post-treatment process for anaerobi-cally pre-treated wastewater. The objective of this work was to design a sustainable treatment system for FVWW composed of upflow anaerobic reactors (UASB) with phase separation and an AW system that receive the anaerobically pretreated effluent. Using the design methodologies for the UASB reactors and artificial wetlands with sub-surface flow (AW-SSF), the parameters of the combined AD-AW system that treat a wastewater flow of 300 m3∙d–1 were calculated. The UASB acidogenic system was adjusted to a hydraulic retention time (HRT) of 10 h and organic loading rate (OLR) of 13.84 kg COD m–3∙d–1; meanwhile, the methanogenic and cascade UASB reactors with OLRs of 10.0 and 3.0 kg COD m3∙d–1, and HRTs of 11 and 10 h, respectively, achieve a high COD removal efficiency (above 94%), and an overall biogas production rate of 1.53 m3 of biogas per m3 of reactor capacity per day. According to the results obtained with the theoretical design, anaerobic-wetland combined system achieves an overall efficiency greater than 98%. The wastewater treated by the pro-posed system will allow the reuse of 30% of the water used in the washing of fruits and vegetables.